Carol Duplessis, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Rosebud, SD

NPI 1710103437 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1710103437
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R136356-8 (MN)
Practice address
Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Apr 18, 2007
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
R136356-8MNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R136356-8 MN Yes

Addresses

Primary practice location

Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570

Mailing address

Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570
Phone (605) 747-2231

Other names

  • Carol Wilson Former name

Other providers in Rosebud, SD

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

Sources for this page

Verify at the official NPI Registry.