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Individual

BETH HERMANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
741 MOUNTAIN VIEW RD STE 1, RAPID CITY, SD 57702-2539
(605) 791-7766
Mailing address
741 MOUNTAIN VIEW RD STE 1, RAPID CITY, SD 57702-2539

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001110
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP001110
SOUTH DAKOTA STATE BOARD OF NURSING
SD
Enumeration date
07/13/2016
Last updated
07/20/2016
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