Individual
THERESA TATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24276 166TH STREET, AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 42, EAGLE BUTTE, SD 57625-0042
(308) 641-6059
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R051805
SD
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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