Individual provider · Type 1 NPI
Rebecca Jo Moke, NP
Family Nurse Practitioner · Lake Andes, SD
NPI number
1083809206
Active
Practice location
756 E Lake Str
Lake Andes, SD 57356-0279
Fax (605) 487-9566
Mailing address
PO Box 279
Lake Andes, SD 57356-0279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CP000512 (SD) |
Family Nurse Practitioner: Definition to come...
About NPI 1083809206
Rebecca Jo Moke, NP's National Provider Identifier is 1083809206, issued on Sep 11, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Andes, SD. The record was last updated on Aug 9, 2012.