| Mrs Kimberly Haines, CNP | |
|
640 E Sioux Ave, Pierre, SD 57501-3300 | |
| (605) 945-5560 | |
| Not Available |
| Full Name | Mrs Kimberly Haines |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 640 E Sioux Ave, Pierre, 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 |
|---|---|---|---|
| 1194185009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001044 (South Dakota) | Primary |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Haines, CNP 1610 Skerrols St, Apt E1, Fort Pierre, SD 57532-2359 Ph: (605) 770-4571 | Mrs Kimberly Haines, CNP 640 E Sioux Ave, Pierre, SD 57501-3300 Ph: (605) 945-5560 |
Danielle Campbell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Julie Ann Cox, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Ericka Leslie Petersen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 | |
Sarah Jane Speck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 E Sioux Ave, Pierre, SD 57501 Phone: 605-224-3100 | |
Ms. Tami Lynn Hogie-lorenzen, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1714 Abbey Road, Pierre, SD 57501 Phone: 605-224-8841 Fax: 605-224-6852 | |
Wren Hollingsworth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mac Ln, Pierre, SD 57501 Phone: 605-224-5901 |