Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Nurse Practitioner · Sioux Falls, SD

NPI number 1184008047 Active

Practice location

1500 W 38th St
Sioux Falls, SD 57105-5563

Call (605) 336-1997 Map

Fax (605) 336-8703

Mailing address

4800 W 57th St
Sioux Falls, SD 57108-2239

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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NPI record

NPI: 1184008047
Entity type: Organization (Type 2)
Issued: Jul 10, 2015
Last updated: Jul 10, 2015
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Luther Manor · doing business as

Authorized official

Grant Tribble
Executive VP
(605) 362-3100

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About NPI 1184008047

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1184008047, issued on Jul 10, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Jul 10, 2015.