Michael R Horned Eagle in Wagner - Registered Nurse
Michael R Horned Eagle - NPI 1376758466
Michael R Horned Eagle is a Registered Nurse in Wagner, South Dakota. Michael R Horned Eagle practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Michael R Horned Eagle is 1376758466. The last update date is 2022-03-22.
Michael R Horned Eagle's current location address is 111 Washington Ave Nw, Wagner, South Dakota. You can contact this provider via phone number 6053843621 and fax number 6053843293. The mailing address for Michael R Horned Eagle is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Horned Eagle |
|---|---|
| Address | 111 Washington Ave Nw, Wagner, South Dakota |
| Phone Number | 6053843621 |
| Fax Number | 6053843293 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1376758466 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2022-03-22 |
Provider Mailing Address Detail
| Address | 111 Washington Ave Nw |
|---|---|
| City | Wagner |
| State | South Dakota (SD) |
| Post Code | 57380 |
| Phone Number | 6053843621 |
| Fax Number | 6053843293 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | R024153 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5540030 | SD | -- | |
| 5540100 | SD | -- |
Post Comment/ Review Below
What is the Michael R Horned Eagle's unique identification number?
The Michael R Horned Eagle has been assigned the NPI (National Provider Identifier) Number 1376758466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Michael R Horned Eagle is physically located?
The Michael R Horned Eagle is situated at the following address: 111 Washington Ave Nw, Wagner, SD 57380.
What is Michael R Horned Eagle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael R Horned Eagle's specialized field of practice is Registered Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 163W00000X.
On what date was the 1376758466 assigned to Michael R Horned Eagle?
The Michael R Horned Eagle was issued its 1376758466 on 2007-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael R Horned Eagle most recently updated or revised?
The details related to Michael R Horned Eagle, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-22.
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