Dusti Varland

Individual provider Active NPI Registered Nurse · Faith, SD

NPI 1578811295 · NPPES record last updated Aug 28, 2012

Key facts

NPI
1578811295
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R041857 (SD)
Practice address
19890 Zeal Rd
Faith, SD 57626-7114
Phone
(605) 415-7430
NPI assigned
Aug 28, 2012
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

LicenseStateTypeSpecialty
R041857SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R041857 SD Yes

Addresses

Primary practice location

19890 Zeal Rd
Faith, SD 57626-7114

Mailing address

19890 Zeal Rd
Faith, SD 57626-7114

Other providers in Faith, SD

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

Sources for this page

Verify at the official NPI Registry.