Individual
JILL C MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1445 NORTH AVE, SPEARFISH, SD 57783
(605) 644-4170
(605) 644-4198
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000377
SD
Other
Enumeration date
02/10/2006
Last updated
08/30/2018
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