Nankivel, Paulette Susan

Nankivel, Paulette Susan is an individual health care provider with primary practice located at 5410 Sheridan Lake Rd , Rapid City SD 57702-9208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Nankivel, Paulette Susan can be contacted via phone (605) 348-4141.

Contact Information

Primary practice address
5410 Sheridan Lake Rd Rapid City SD 57702-9208
Phone: (605) 348-4141
Fax: (605) 342-7880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0102 South Dakota

Profile Details

NPI number 1487626842
LBN Legal business name Nankivel, Paulette Susan
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 4th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487626842 NPPES
South Dakota Other 4995692 WELLMARK BCBS
South Dakota MEDICAID 6001152 WELLMARK BCBS

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