Individual
BONNIE L MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-7306
(605) 719-5650
(605) 719-5655
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-5650
(605) 719-5655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000245
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994127
WELLMARK
SD
05
—
6828570
—
SD
01
—
9237730
DAKOTACARE
SD
Enumeration date
05/16/2006
Last updated
03/10/2008
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