Individual
AMY NICOLE PASSERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PINE RIDGE IHS HOSPITAL E HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3108
Mailing address
6717 HIGHWAY 20, CHADRON, NE 69337-5333
(605) 867-3108
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
R029728
SD
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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