Mariah Noid, | |
212 N Prairie St, Flandreau, SD 57028-1243 | |
(605) 997-2433 | |
Not Available |
Full Name | Mariah Noid |
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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 |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP002971 (South Dakota) | Primary |
Entity Name | Avera Mckennan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Mariah Noid, 4409 S Vista Park Ave, Sioux Falls, SD 57106-7671 Ph: (605) 579-0283 | Mariah Noid, 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 | |
Amanda Jo Dvanajscak, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 W Broad Ave, Flandreau, SD 57028 Phone: 605-997-2642 | |
Abbie Lynn Entringer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 N Prairie St, Flandreau, SD 57028 Phone: 605-997-2433 | |
Tessah Renee Bien, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 W Broad Ave, Flandreau, SD 57028 Phone: 605-997-2642 | |
Mrs. Abbey Jo Kitto, CNP-FNP Nurse Practitioner Medicare: Medicare Enrolled 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 |