Individual
DANIELLE PRUDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
(612) 725-1332
Mailing address
5231 ALBERT LN, RAPID CITY, SD 57703-6479
(605) 381-0213
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R036044
SD
Other
Enumeration date
06/20/2017
Last updated
05/14/2025
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