Teresa Annette Blacksmith, RN

NPI #1639338122 in Pine Ridge, South Dakota

Provider Information

NPI Number
1639338122
Entity Type
Individual
Name
Teresa Annette Blacksmith, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jun 9, 2008
Last Updated
Jun 9, 2008

Practice Location

Address
US HWY 18
Address 2
PINE RIDGE IHS
ZIP Code
57770
Phone
(605) 867-3007

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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