Individual
CANDIDA GOEHRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C NP
Contact information
Practice address
1309 10TH AVE W, MOBRIDGE, SD 57601-1146
(605) 845-3692
(605) 845-8252
Mailing address
PO BOX 206, TIMBER LAKE, SD 57656-0206
(605) 865-3258
(605) 845-8252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000592
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659683654
—
SD
01
—
S104312
PTAN
—
Enumeration date
07/07/2010
Last updated
03/11/2019
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