| Julie Ann Hericks, | |
|
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
| (605) 355-2234 | |
| (605) 355-2512 |
| Full Name | Julie Ann Hericks |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist |
| Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467123190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | P005788 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Ann Hericks, 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2234 | Julie Ann Hericks, 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2234 |
Dr. Marylou Mylant, PHD, RN, PMHNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1011 11th St, Rapid City, SD 57701 Phone: 605-394-6617 Fax: 605-394-1250 | |
Patricia Wiles, CMA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 111 North St, Rapid City, SD 57701 Phone: 605-343-0650 |