Most Relevant Information
Provider Data
NPI Number: | 1003393570 |
Provider Name: | MARIA SARGENT CNP |
Entity Type: | Individual |
Taxonomy Code: | 363L00000X |
Specialty: | Nurse Practitioner |
License Number: | CP001410 |
Most Important Dates
Enumeration Date: | 07/26/2018 |
Last Updated: | 11/13/2020 |
Provider Practice Location
353 FAIRMONT BLVD
RAPID CITY
SD
577017375
Practice Location Phone/Fax
Phone: | 6057551000 |
Fax: |
Provider Mailing Location
PO BOX 6000
RAPID CITY
SD
577096000
Provider Mailing Phone/Fax
Phone: | 6057559056 |
Fax: |