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Individual

MRS. HEATHER JOY TIETJEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1309 W 17TH ST, SIOUX FALLS, SD 57104-4663
(605) 328-6001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000856
SD
363LF0000X
Family Nurse Practitioner
R1353060
MN

Other

Enumeration date
03/17/2006
Last updated
12/03/2025
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