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Amanda Wortman, FNP
Family Nurse Practitioner in Eagle Butte, South Dakota
NPI 1972139095

Amanda Wortman is a Family Nurse Practitioner based in Pierre, SD and is specialized in Family. Amanda Wortman practices in Eagle Butte, SD and has the professional credentials of FNP. The NPI Number for Amanda Wortman is 1972139095 and holds a License No. CP001742 (South Dakota).

The current practice location address for Amanda Wortman is 24276 166Th St, Airport Rd, Eagle Butte, SD and can be reached out via phone at 605-964-7724.

Location: 24276 166Th St, Airport Rd, Eagle Butte, SD, 57501-5672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972139095
Provider Name
Amanda Wortman
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
24276 166Th St, Airport Rd, Eagle Butte, SD, 57501-5672
Phone Number
605-964-7724
Fax Number
Provider Enumeration Date
03/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24276 166Th St, Airport Rd
City
Eagle Butte
State
South Dakota
Zip
57625-1012
Phone Number
605-964-7724
Fax Number
person
Provider Business Mailing Address Details
Address
24276 166Th St, Airport Rd
City
Eagle Butte
State
South Dakota
Zip
57625-1012
Phone Number
605-964-7724
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
CP001742 (South Dakota)
Definition
Definition to come...
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