Individual
HANNAH PRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7881
Mailing address
13376 194TH ST, VALE, SD 57788-6335
(605) 209-0938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R042730
SD
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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