Pallesen, Cynthia Jane

Pallesen, Cynthia Jane is an individual health care provider with primary practice located at 105 S State St Ste 113, Aberdeen SD 57401-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pallesen, Cynthia Jane can be contacted via phone (605) 622-4000.

Contact Information

Primary practice address
105 S State St Ste 113 Aberdeen SD 57401-4501
Phone: (605) 622-4000
Fax: (605) 626-3399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R141881-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R017439 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R36847 North Dakota

Profile Details

NPI number 1407935901
LBN Legal business name Pallesen, Cynthia Jane
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Sep 8th, 2016 - about 10 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 1407935901 NPPES
North Dakota MEDICAID 19855
North Dakota Other 8Y4021
North Dakota Other R017439
North Dakota Other MP0470550
North Dakota Other R141881-1

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