Individual
ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 22ND AVE S, BROOKINGS, SD 57006-2830
(605) 697-1900
Mailing address
114 SE LAKE DR, ESTELLINE, SD 57234-6603
(605) 360-6530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001134
SD
Other
Enumeration date
09/25/2016
Last updated
09/25/2016
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