Susan Grace Knudsen in Wagner - Registered Nurse

Susan Grace Knudsen - NPI 1073720439

Susan Grace Knudsen is a Registered Nurse in Wagner, South Dakota. Susan Grace Knudsen practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Susan Grace Knudsen is 1073720439. The last update date is 2007-07-09.

Susan Grace Knudsen'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 Susan Grace Knudsen is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Grace Knudsen
Address 111 Washington Ave Nw, Wagner, South Dakota
Phone Number 6053843621
Fax Number 6053843293
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1073720439
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-09

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 R019453
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5540030 SD --
5540100 SD --

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FAQs about Susan Grace Knudsen

What is the unique 10-digit identification code assigned to Susan Grace Knudsen by the Centers for Medicare & Medicaid Services?

The Susan Grace Knudsen has been issued the NPI (National Provider Identifier) 1073720439, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Susan Grace Knudsen is physically located?

The Susan Grace Knudsen is physically situated at the following address: 111 Washington Ave Nw, Wagner, SD, 57380.

What is Susan Grace Knudsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan Grace Knudsen is Registered Nurse, and the taxonomy code that classifies this field of practice is 163W00000X.

On what date was the 1073720439 assigned to Susan Grace Knudsen?

The Susan Grace Knudsen was issued its 1073720439 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Susan Grace Knudsen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan Grace Knudsen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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