Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Nurse Practitioner · Clear Lake, SD

NPI number 1902385693 Active

Practice location

913 Col Pete St S
Clear Lake, SD 57226-2124

Fax (605) 874-8449

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

About NPI 1902385693

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1902385693, issued on Aug 13, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clear Lake, SD. The record was last updated on Aug 13, 2018.