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Roger E Deraad, CNP
Nurse Practitioner in Rapid City, South Dakota
NPI 1750338604

Roger E Deraad is a Nurse Practitioner based in Rapid City, SD. Roger E Deraad practices in Rapid City, SD and has the professional credentials of CNP. The NPI Number for Roger E Deraad is 1750338604 and holds a License No. CP000147 (South Dakota).

The current practice location address for Roger E Deraad is 4150 Fifth Street, Rapid City, SD and can be reached out via phone at 605-399-4300 and via fax at 605-399-4352.

Location: 4150 Fifth Street, Rapid City, SD, 57701-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750338604
Provider Name
Roger E Deraad
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
4150 Fifth Street, Rapid City, SD, 57701-6000
Phone Number
605-399-4300
Fax Number
605-399-4352
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4150 Fifth Street
City
Rapid City
State
South Dakota
Zip
57701
Phone Number
605-399-4300
Fax Number
605-399-4352
person
Provider Business Mailing Address Details
Address
4150 Fifth Street
City
Rapid City
State
South Dakota
Zip
57701
Phone Number
605-399-4300
Fax Number
605-399-4352
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
CP000147 (South Dakota)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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