Individual
MELODY COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-1000
Mailing address
1713 PENNINGTON ST, RAPID CITY, SD 57703-0132
(605) 791-2873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R037977
SD
163W00000X
Registered Nurse
RN9273334
FL
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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