Individual provider · Type 1 NPI

Katie Donnell Mandle, REGISTERED NURSE

Emergency Registered Nurse · Eagle Butte, SD

NPI number 1164045308 Active

Practice location

24276 Airport Rd
Eagle Butte, SD 57625-8021

Call (605) 964-7724 Map

Mailing address

PO Box 1544
Eagle Butte, SD 57625-1544

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X130108 (MO)

Emergency Registered Nurse: Definition to come...

30 other providers at this address

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About NPI 1164045308

Katie Donnell Mandle, REGISTERED NURSE's National Provider Identifier is 1164045308, issued on May 21, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Eagle Butte, SD. The record was last updated on May 21, 2020.