Individual
RHONDA R JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
745 E 8TH ST, WINNER, SD 57580-2677
(605) 842-7100
Mailing address
745 E 8TH ST, WINNER, SD 57580-2677
(605) 842-7100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R015827
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251288-00
—
NE
01
—
4995588
WELMARK BCBS OF SD
SD
Enumeration date
05/16/2007
Last updated
07/08/2007
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