Individual
AMANDA DIANE MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3500
Mailing address
2125 S SILVERTHORNE AVE APT 304, SIOUX FALLS, SD 57110-7695
(605) 838-5870
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D169326
IA
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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