Individual
JUSTIN T HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
113865
NE
363LF0000X
Family Nurse Practitioner
A160877
IA
363LF0000X
Family Nurse Practitioner
Primary
CP002047
SD
Other
Enumeration date
09/29/2020
Last updated
04/25/2025
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