Individual
KRYSTAL NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 W 18TH ST, SUITE G01, SIOUX FALLS, SD 57104-4647
(605) 328-2663
Mailing address
1210 W 18TH ST, SUITE G01, SIOUX FALLS, SD 57104-4647
(605) 328-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1078
SD
Other
Enumeration date
03/16/2017
Last updated
03/30/2022
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