Pettigrew, Karen W

Pettigrew, Karen W is an individual health care provider with primary practice located at 504 E Monroe St , Rapid City SD 57701-1400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Pettigrew, Karen W can be contacted via phone (605) 721-8939.

Contact Information

Primary practice address
504 E Monroe St Rapid City SD 57701-1400
Phone: (605) 721-8939
Fax: (605) 394-5217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R01556 South Dakota

Profile Details

NPI number 1467409011
LBN Legal business name Pettigrew, Karen W
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jan 2nd, 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 1467409011 NPPES
South Dakota MEDICAID 6540023

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