Charity Haddican, NURSE

Individual provider Active NPI Licensed Practical Nurse · Sioux Falls, SD

NPI 1730985334 · NPPES record last updated Feb 24, 2025

Key facts

NPI
1730985334
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P009715 (SD)
Practice address
2501 W 22ND St
Sioux Falls, SD 57105-1305
Phone
(605) 610-5066
NPI assigned
Feb 24, 2025
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
P009715SDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P009715 SD Yes

Addresses

Primary practice location

2501 W 22ND St
Sioux Falls, SD 57105-1305

Mailing address

2501 W 22ND St
Sioux Falls, SD 57105-1305
Phone (605) 336-3230

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Licensed Practical Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.