Michelle Rae Hartnagel
Individual provider Active NPI Emergency Registered Nurse · Eagle Butte, SD
NPI 1457982829 · NPPES record last updated Feb 4, 2020
Key facts
- NPI
- 1457982829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 2010005618 (MO)
- Practice address
- 24276 Airport Rd
Eagle Butte, SD 57625-8021 - Phone
- (605) 964-0571
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010005618 | MO | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 2010005618 | MO | Yes |
Addresses
Primary practice location
24276 Airport Rd
Eagle Butte, SD 57625-8021
Mailing address
PO Box 92
Faith, SD 57626-0092
Phone (314) 605-4449
Other providers in Eagle Butte, SD
- Christopher Allen Guggolz
- Arlette Darshan Hager
- Deidra Monique Hall
- Devany Loren Hall
- Rikki Lynn Hall
- Kendal Lorraine Harvey
- Michelle Hermann
- Lindell Highbear
- Travis Holm
- Horizon Health Care Inc
All providers in Eagle Butte, SD · Emergency Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.