Taryn Chasing Hawk

Individual provider Active NPI Nurse's Aide · Eagle Butte, SD

NPI 1538568258 · NPPES record last updated Aug 19, 2014

Key facts

NPI
1538568258
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
A035165 (SD)
Practice address
Airport Rd. 1012
Eagle Butte, SD 57625
Phone
(605) 964-7724
Fax
(605) 964-0545
NPI assigned
Aug 19, 2014
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
A035165SDMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A035165 SD Yes

Addresses

Primary practice location

Airport Rd. 1012
Eagle Butte, SD 57625

Mailing address

Box 1012
Eagle Butte, SD 57625
Phone (605) 964-7724

Other providers in Eagle Butte, SD

All providers in Eagle Butte, SD · Nurse's Aide in South Dakota

Sources for this page

Verify at the official NPI Registry.