| Doctor Name: | MRS. ADELIA MAE CUKA |
| NPI Number: | 1760650188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS,RN,MSN |
| License Number: | CS004117 |
| Business Practice Address: | 111 Washington Ave Nw Wagner, SD - 573804300 |
| Business Phone Number: | 6053843621 |
| Business Fax Number: | 6053843293 |
| Mailing Address: | 111 Washington Ave Nw, WAGNER |
| State: | SD |
| Postal Code: | 573804300 |
| Phone Number: | 6053843621 |
| Fax Number: | 6053843293 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 02/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SC1501X |
| License Number: | CS004117 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Community Health/Public Health |
| Taxonomy Definition: | |