Amy Gage, RN

Individual provider Active NPI School Registered Nurse · Harrisburg, SD

NPI 1487003182 · NPPES record last updated Jun 3, 2016

Key facts

NPI
1487003182
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
SD-RN R036254 (SD)
Practice address
200 W. Willow St.
Harrisburg, SD 57032
Phone
(605) 743-2567
NPI assigned
Jun 3, 2016
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
SD-RN R036254SDMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X SD-RN R036254 SD Yes

Addresses

Primary practice location

200 W. Willow St.
Harrisburg, SD 57032

Mailing address

200 W. Willow St.
Harrisburg, SD 57032
Phone (605) 743-2567

Other names

  • Amy Jean Conrad Former name

Other providers in Harrisburg, SD

All providers in Harrisburg, SD · School Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.