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Contact Information

VICKI BLAKE NAFUS, PA
100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD57501
 Phone: 605-945-5348
 Fax: 605-747-5348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VICKI BLAKE NAFUS · (Female)

NPI Number 1568473247
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/10/2006
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0218
  • SD Medicaid 6820185
Hospital affiliation(s)
  • ST MARY'S HOSPITAL - (Acute Care)
    801 E SIOUX
    PIERRE, SD 57501
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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