MS. Carole A Provencial, REGISTERED NURSE
NPI #1396893442 in Rosebud, South Dakota
Provider Information
- NPI Number
- 1396893442
- Entity Type
- Individual
- Name
- MS. Carole A Provencial, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- ROSEBUD IHS HOSPITAL
- Address 2
- SOLDIER CREEK ROAD
- City
- Rosebud
- State
- South Dakota
- ZIP Code
- 57570-0400
- Phone
- (605) 747-3245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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