Individual provider · Type 1 NPI
Mellissa Jo Vig
Emergency Registered Nurse · Eagle Butte, SD
NPI number
1982118436
Active
Practice location
24276 Airport Rd. 166th Street
Eagle Butte, SD 57626
Mailing address
18138 Opal Rd
Opal, SD 57758-7060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | R036323 (SD) |
Emergency Registered Nurse: Definition to come...
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About NPI 1982118436
Mellissa Jo Vig's National Provider Identifier is 1982118436, issued on Nov 20, 2017. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Eagle Butte, SD. The record was last updated on Nov 20, 2017.