Individual
TRACI MARIE REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1000 E 23RD ST STE 360, SIOUX FALLS, SD 57105-2140
(605) 322-3950
(605) 322-3960
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-4350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000721
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6838240
—
SD
Enumeration date
07/09/2012
Last updated
10/16/2018
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