Individual
ANDREA JO MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2601 S ELLIS RD, SIOUX FALLS, SD 57106-7067
(605) 312-3000
(605) 234-7260
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP001478
SD
363LA2100X
Acute Care Nurse Practitioner
CP001478
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001478
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001478
SD LICENSE
SD
Enumeration date
10/22/2018
Last updated
02/05/2024
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