Individual
SAMANTHA RENEE GOTTSLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C OR CNP
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-7300
Mailing address
3709 W 90TH ST, SIOUX FALLS, SD 57108-6254
(605) 290-6128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP003462
SD
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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