Individual
TRICHELLE GRACE PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
911 E 20TH ST, STE 400, SIOUX FALLS, SD 57105-1042
(605) 332-2240
Mailing address
5527 STEWART ST, MILTON, FL 32570-4303
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CP000680
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6837130
—
SD
Enumeration date
02/06/2012
Last updated
10/13/2020
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