Maija Jean Arlene Gouldin, RN
Individual provider Active NPI General Practice Registered Nurse · Fort Meade, SD
NPI 1962293159 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1962293159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- R042353 (SD)
- Practice address
- 113 Comanche Rd
Fort Meade, SD 57741-1002 - Phone
- (605) 347-2511
- NPI assigned
- May 15, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042353 | SD | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | R042353 | SD | Yes |
Addresses
Primary practice location
113 Comanche Rd
Fort Meade, SD 57741-1002
Mailing address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone (605) 515-3820
Other providers in Fort Meade, SD
- Lori Geuke
- Rhea Katharyn Go
- Steven K Goff
- Talona Gonzalez
- Amy Joy Gorman-Hartl
- Rhonda Gourley
- Mary L Graham
- Nathan Graves
- Emily Gray
- Serena J Gray
All providers in Fort Meade, SD · General Practice Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.