Doctor Name: | MRS. DENISE BADGER |
NPI Number: | 1235283276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | R019031 |
Business Practice Address: | 1714 Abbey Rd Pierre, SD - 575017805 |
Business Phone Number: | 6052248841 |
Business Fax Number: | 6052246852 |
Mailing Address: | 1714 Abbey Rd, PIERRE |
State: | SD |
Postal Code: | 575017805 |
Phone Number: | 6052248841 |
Fax Number: | 6052246852 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | R019031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |