Individual
COLLEEN R PERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-0111
(605) 384-3621
(605) 384-3293
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-0111
(605) 384-3621
(605) 384-3293
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
018585
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5540030
—
SD
Enumeration date
03/17/2009
Last updated
03/17/2009
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