Roger E Deraad in Rapid City - Nurse Practitioner
Roger E Deraad - NPI 1750338604
Roger E Deraad is a Nurse Practitioner in Rapid City, South Dakota. Roger E Deraad practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Roger E Deraad is 1750338604. The last update date is 2013-01-03.
Roger E Deraad's current location address is 4150 Fifth Street, Rapid City, South Dakota. You can contact this provider via phone number 6053994300 and fax number 6053994352. The mailing address for Roger E Deraad is 4150 Fifth Street, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger E Deraad |
|---|---|
| Address | 4150 Fifth Street, Rapid City, South Dakota |
| Phone Number | 6053994300 |
| Fax Number | 6053994352 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1750338604 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2013-01-03 |
Provider Mailing Address Detail
| Address | 4150 Fifth Street |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 57701 |
| Phone Number | 6053994300 |
| Fax Number | 6053994352 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | CP000147 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Roger E Deraad's unique identification number?
The Roger E Deraad has been assigned the NPI (National Provider Identifier) Number 1750338604 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 Roger E Deraad is physically located?
The Roger E Deraad is situated at the following address: 4150 Fifth Street, Rapid City, SD 57701.
What is Roger E Deraad's area of expertise and its corresponding taxonomy classification?
The Roger E Deraad's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1750338604 to Roger E Deraad?
The Roger E Deraad received its 1750338604 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.
As of what date were the details related to Roger E Deraad most recently updated or revised?
The information pertaining to Roger E Deraad, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-03.
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