Trina Marie Cleveland

Individual provider Active NPI Registered Nurse · Sisseton, SD

NPI 1508001322 · NPPES record last updated Dec 8, 2008

Key facts

NPI
1508001322
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
SD-RN R029943 (SD)
Practice address
44942 125TH Street
Sisseton, SD 57262
Phone
(605) 698-7606
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SD-RN R029943SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X SD-RN R029943 SD Yes

Addresses

Primary practice location

44942 125TH Street
Sisseton, SD 57262

Mailing address

44942 125TH St
Sisseton, SD 57262-7212
Phone (605) 698-7606

Other providers in Sisseton, SD

All providers in Sisseton, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.