DANIELLE PRUDICH NPI 1710407911

NPI Information

NPI: 1710407911
Provider Name: DANIELLE PRUDICH
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (605) 355-2333
Get Directions

Danielle Prudich is a general practice registered nurse in Rapid City, SD. Danielle Prudich NPI is 1710407911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-114
Phone: (605) 355-2333

The enumeration date for this NPI number is 6/20/2017 and was last updated on 6/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	R036044	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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