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Individual

HEATHER M MITZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 274-6300
(605) 333-4875
Mailing address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 274-6300
(605) 333-4875

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000384
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0746743
IA
01
30969
BCBS
IA
01
4993420
BCBS
SD
05
6822952
SD
05
694635000
MN
01
P00470907
RAILROAD MEDICARE
SD
Enumeration date
06/30/2006
Last updated
09/09/2009
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