Individual provider · Type 1 NPI

Korie Kae Pravecek, CNP

Family Nurse Practitioner · Winner, SD

NPI number 1477969657 Active

Practice location

825 E 8th St, Suite 1
Winner, SD 57580-2634

Mailing address

28260 318th Ave
Colome, SD 57528-6412

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCP000870 (SD)

Family Nurse Practitioner: Definition to come...

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About NPI 1477969657

Korie Kae Pravecek, CNP's National Provider Identifier is 1477969657, issued on Jul 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Winner, SD. The record was last updated on Oct 22, 2014.