Individual
MR. ANDREW ARNOLD DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
Mailing address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001290
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001290
SD BOARD OF NURSING
SD
01
—
R040494
SD BOARD OF NURSING
SD
Enumeration date
10/17/2017
Last updated
10/17/2017
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