Individual
CALI ROSE EGERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
120 W DAKOTA ST, SPEARFISH, SD 57783-2615
(605) 641-6899
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP003043
SD
363LP2300X
Primary Care Nurse Practitioner
Primary
CP003043
SD
Other
Enumeration date
12/13/2023
Last updated
12/26/2024
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