Sisseton Wahpeton Oyate of the Lake Traverse Reservation
NPI #1629858519 in Sisseton, South Dakota
Provider Information
- NPI Number
- 1629858519
- Entity Type
- Organization
- Organization Name
- Sisseton Wahpeton Oyate of the Lake Traverse Reservation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SISSETON WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Sep 29, 2023
- Last Updated
- Feb 22, 2024
Practice Location
- Address
- 114 LAKE TRAVERSE DR STE 102
- City
- Sisseton
- State
- South Dakota
- ZIP Code
- 57262-7046
- Phone
- (833) 674-3444
Authorized Official
- Name
- ELISE JOHNSON, MPH
- Title
- SWO TRIBAL HEALTH DIRECTOR
- Phone
- (605) 698-8315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Nurse Practitioner - Primary Care — Primary Care |
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