Lafollette, Grace A

Lafollette, Grace A is an individual health care provider with primary practice located at 4400 W 69Th St Ste. 1500, Sioux Falls SD 57108-8170. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lafollette, Grace A can be contacted via phone (605) 322-5700.

Contact Information

Primary practice address
4400 W 69Th St Ste. 1500 Sioux Falls SD 57108-8170
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000282 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CP000282 South Dakota

Profile Details

NPI number 1659343143
LBN Legal business name Lafollette, Grace A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 11th, 2013 - about 11 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 1659343143 NPPES
Nebraska MEDICAID 46022474352
Nebraska Other 142419
Nebraska MEDICAID 6826732
Nebraska Other 0040478
Nebraska MEDICAID 12200
Nebraska Other 140M7BO
Nebraska Other 25216
Nebraska MEDICAID 690718100
Nebraska Other 9233298
Nebraska Other 15766
Nebraska Other 22591
Nebraska MEDICAID 500002297
Nebraska Other 500026048
Nebraska Other HP37123
Nebraska Other 1663494
Nebraska Other 412991028069
Nebraska MEDICAID 1958108
Nebraska Other 57108C022

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