Individual
DANIELLE ELIZABETH ETZKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Mailing address
30605 206TH ST, PIERRE, SD 57501-5903
(605) 280-3252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001996
SD
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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