Torie Kay Antonie, RN, BNS

Individual provider Active NPI Registered Nurse · Eagle Butte, SD

NPI 1740574227 · NPPES record last updated Jun 2, 2011

Key facts

NPI
1740574227
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R037629 (SD)
Practice address
317 Main Steet
Eagle Butte, SD 57625
Phone
(605) 964-3007
NPI assigned
Jun 2, 2011
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R037629SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R037629 SD Yes

Addresses

Primary practice location

317 Main Steet
Eagle Butte, SD 57625

Mailing address

202 South Harrison Ave.
Pierre, SD 57501
Phone (605) 933-1430

Other names

  • Torie Kay Graves Former name

Other providers in Eagle Butte, SD

All providers in Eagle Butte, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.