Pallesen, Cynthia Jane
Pallesen, Cynthia Jane is an individual health care provider with primary practice located at 105 S State St Ste 113, Aberdeen SD 57401-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pallesen, Cynthia Jane can be contacted via phone (605) 622-4000.Contact Information
Primary practice address
105 S State St Ste 113
Aberdeen SD 57401-4501
Phone: (605) 622-4000
Fax: (605) 626-3399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R141881-1 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R017439 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R36847 | North Dakota |
Profile Details
NPI number | 1407935901 |
---|---|
LBN Legal business name | Pallesen, Cynthia Jane |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2006 |
Last updated | Sep 8th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407935901 | NPPES |
North Dakota | MEDICAID | 19855 | |
North Dakota | Other | 8Y4021 | |
North Dakota | Other | R017439 | |
North Dakota | Other | MP0470550 | |
North Dakota | Other | R141881-1 |
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