Individual
MARDONNA R HULM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2451
(605) 720-7286
Mailing address
16060 226TH ST, NEW UNDERWOOD, SD 57761-6124
(605) 347-2511
(605) 720-7286
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RO18353
SD
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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