Iverson, Beth A

Iverson, Beth A is an individual health care provider with primary practice located at 640 Flormann St , Rapid City SD 57701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Iverson, Beth A can be contacted via phone (605) 718-3300.

Contact Information

Primary practice address
640 Flormann St Rapid City SD 57701
Fax: (605) 718-3426
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CP000217 South Dakota

Profile Details

NPI number 1043264146
LBN Legal business name Iverson, Beth A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043264146 NPPES
South Dakota Other P00358634 RR MEDICARE

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