Individual
TRISTA MARIE BORGWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-6003
(605) 755-5700
Mailing address
2805 5TH ST, RAPID CITY, SD 57701-6003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001678
SD
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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