Individual
KATIE M WICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
163W00000X
Registered Nurse
85714
NE
363LF0000X
Family Nurse Practitioner
A173338
IA
363LF0000X
Family Nurse Practitioner
Primary
CP002715
SD
Other
Enumeration date
01/04/2023
Last updated
03/13/2023
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