Katie Donnell Mandle, Registered Nurse
Registered Nurse, Emergency in Eagle Butte, SD. Individual provider (NPI-1).
NPI number1164045308
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1164045308
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katie Donnell Mandle
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2020
- Certification date
- May 21, 2020
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | 130108 | MO | Yes |
Practice location
24276 Airport RdEagle Butte, SD 57625-8021
Phone 605-964-7724
Mailing address
Po Box 1544Eagle Butte, SD 57625-1544
Phone 314-288-9935
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All 21 Emergency Registered Nurse providers in Eagle Butte · All 196 providers in Eagle Butte
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