MS. PHYLLIS PROVANCIAL, REGISTERED NURSE

Registered Nurse

Active Individual
NPI: 1588712640

Practice Address

ROSEBUD IHS HOSPITAL
SOLDIER CREEK ROAD
Rosebud, SD 57570

Phone: (605) 747-2231

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes RN054076 (AZ)

Frequently Asked Questions

NPI 1588712640 is the National Provider Identifier for MS. PHYLLIS PROVANCIAL, REGISTERED NURSE, a Registered Nurse provider located in Rosebud, SD. This NPI was enumerated on January 8, 2007.
MS. PHYLLIS PROVANCIAL, REGISTERED NURSE practices at ROSEBUD IHS HOSPITAL, SOLDIER CREEK ROAD, Rosebud, SD 57570.

Quick Facts

NPI
1588712640
Type
Individual
Enumerated
Jan 8, 2007
Last Updated
Jul 8, 2007

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