Individual provider · Type 1 NPI
Amanda Wortman, FNP
Family Nurse Practitioner · Eagle Butte, SD
NPI number
1972139095
Active
Practice location
24276 166th St, Airport Rd
Eagle Butte, SD 57625-1012
Mailing address
101 Mercury St
Pierre, SD 57501-5672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CP001742 (SD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972139095
Amanda Wortman, FNP's National Provider Identifier is 1972139095, issued on Mar 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagle Butte, SD. The record was last updated on Jun 29, 2020.