Individual
THERESA ANN MEHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3720 W 69TH ST, SIOUX FALLS, SD 57108-8192
(605) 322-5290
(605) 322-5252
Mailing address
3720 W 69TH ST, SIOUX FALLS, SD 57108-8192
(605) 322-5290
(605) 322-5252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000564
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235196056
GROUP NPI
—
01
—
1790018935
BCBS OF MN
MN
01
—
1790018935
DAKOTACARE
SD
05
—
1790018935
—
IA
05
—
1790018935
—
SD
01
—
460484580
WELLMARK OF SD AND IA
SD
01
—
460484580
GROUP TAX ID
—
05
—
6828312
—
SD
05
—
6832603
—
SD
Enumeration date
09/04/2009
Last updated
05/15/2014
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