Individual
NELLI Y SHCHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 S. CLIFF AVE, SUITE 610, SIOUX FALLS, SD 57105-1032
(605) 322-8860
(605) 322-8868
Mailing address
2400 S. MINNESOTA AVE., SUITE 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000780
SD
363LF0000X
Family Nurse Practitioner
R036344
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6831203
—
SD
01
—
P01221128
RR MEDICARE
SD
Enumeration date
12/18/2012
Last updated
11/13/2013
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