Individual provider · Type 1 NPI

Kate Eaglestaff

Licensed Practical Nurse · Eagle Butte, SD

NPI number 1316200934 Active

Practice location

24276 166th St. Airport Raod
Eagle Butte, SD 57625

Mailing address

PO Box 1012
Eagle Butte, SD 57625

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP010457 (SD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1316200934

Kate Eaglestaff's National Provider Identifier is 1316200934, issued on Jun 19, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eagle Butte, SD. The record was last updated on Jun 19, 2012.