Individual
RACHEL PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 721-1922
Mailing address
2611 ELDERBERRY BLVD, RAPID CITY, SD 57703-5970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001689
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376105452
—
SD
Enumeration date
12/10/2019
Last updated
12/10/2019
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