| Mariah Peterson, CNP | |
|
212 N Prairie St, Flandreau, SD 57028-1243 | |
| (605) 997-2433 | |
| Not Available |
| Full Name | Mariah Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 212 N Prairie St, Flandreau, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245019694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R051425 (South Dakota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CP002971 (South Dakota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Peterson, CNP 212 N Prarie St, Flandreau, SD 57028 Ph: (605) 579-0283 | Mariah Peterson, CNP 212 N Prairie St, Flandreau, SD 57028-1243 Ph: (605) 997-2433 |
Amanda Mcmillan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 W Broad Ave, Flandreau, SD 57028 Phone: 605-997-2642 Fax: 605-997-9940 | |
Abbie Lynn Entringer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 N Prairie St, Flandreau, SD 57028 Phone: 605-997-2433 | |
Mrs. Abbey Jo Kitto, CNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 W Broad Ave, Flandreau, SD 57028 Phone: 605-997-2642 Fax: 605-997-9940 | |
Jenny Ruckdaschel, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 N Prairie St, Flandreau, SD 57028 Phone: 605-997-5490 Fax: 605-997-2418 | |
Olivia Jacklynne Brown, DNP, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 N Prairie St, Flandreau, SD 57028 Phone: 605-997-2471 |