Individual
AMY HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 348-8000
(605) 348-4315
Mailing address
631 SAINT ANNE ST, SUITE 103, RAPID CITY, SD 57701
(605) 348-8000
(605) 348-4315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP003091
SD
363L00000X
Nurse Practitioner
R052165
SD
Other
Enumeration date
01/08/2024
Last updated
09/23/2024
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