Amanda Pederson is a Family in Sioux Falls, South Dakota. Amanda Pederson practices all healthcare services and medical treatments related to Family. The NPI Number for Amanda Pederson is 1457452187. The last update date is 2015-03-05.
Amanda Pederson's current location address is Po Box 5074, Sioux Falls, South Dakota. You can contact this provider via phone number 6053286585. The mailing address for Amanda Pederson is Po Box 5074, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Pederson |
|---|---|
| Address | Po Box 5074, Sioux Falls, South Dakota |
| Phone Number | 6053286585 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1457452187 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2015-03-05 |
Provider Mailing Address Detail
| Address | Po Box 5074 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571175074 |
| Phone Number | 6053286585 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R140359-6 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 337486600 | MN | -- | |
| 58G74WA | MN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda Pederson by the Centers for Medicare & Medicaid Services (CMS)?
The Amanda Pederson has been assigned the NPI (National Provider Identifier) 1457452187. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Amanda Pederson is located?
The Amanda Pederson is situated at the following address: Po Box 5074, Sioux Falls, SD, 571175074.
What is Amanda Pederson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda Pederson's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457452187 to Amanda Pederson?
The Amanda Pederson received its 1457452187 assignment from the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information regarding Amanda Pederson most recently updated?
The details pertaining to the Amanda Pederson, including its address, specialty, and other relevant information, were last refreshed on 2015-03-05.