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Contact Information

PAULETTE S NANKIVEL, CNP
5410 SHERIDAN LAKE RD
RAPID CITY, SD57702-9208
 Phone: 605-348-4141
 Fax: 605-342-7880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PAULETTE S NANKIVEL · (Female)

NPI # 1487626842
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 02/01/2006
Last updated 12/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0102
  • SD Medicaid 6001152
  • SD Other 4995692 WELLMARK BCBS
Hospital affiliation(s)
  • BLACK HILLS SURGICAL HOSPITAL LLP - (Acute Care)
    216 ANAMARIA DR
    RAPID CITY, SD 57703
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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