Mellissa Jo Vig
Registered Nurse, Emergency in Eagle Butte, SD. Individual provider (NPI-1).
NPI number1982118436
StatusActive
Last updated in NPPESNov 20, 2017
Details
- NPI
- 1982118436
- Entity type
- Individual (NPI-1)
- Name
- Mellissa Jo Vig
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 20, 2017
- Last updated
- Nov 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WE0003X | Registered Nurse, Emergency | R036323 | SD | Yes |
Practice location
24276 Airport Rd. 166th StreetEagle Butte, SD 57626
Phone 605-964-7724
Mailing address
18138 Opal RdOpal, SD 57758-7060
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All 21 Emergency Registered Nurse providers in Eagle Butte · All 196 providers in Eagle Butte
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