Individual
NICOLE ANN MAZOUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-5350
(605) 312-8928
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 312-5350
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
CP003569
SD
Other
Enumeration date
07/11/2025
Last updated
09/29/2025
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