| Doctor Name: | MRS. MERRY CAROLE AFRAID OF BEAR |
| NPI Number: | 1396906202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 26NO08348200 |
| Business Practice Address: | East Highway 18 Pine Ridge, SD - 577701201 |
| Business Phone Number: | 6058673013 |
| Business Fax Number: | 6058673271 |
| Mailing Address: | Po Box 1201, PINE RIDGE |
| State: | SD |
| Postal Code: | 577701201 |
| Phone Number: | 6058673013 |
| Fax Number: | 6058673271 |
| NPI Enumeration Date: | 06/23/2008 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 26NO08348200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |