Individual
ANDREA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 LAZELLE ST, STURGIS, SD 57785-1611
(605) 720-2400
Mailing address
PO BOX 401, SPEARFISH, SD 57783-0401
(605) 641-6781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001173
SD
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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