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NPI 1164045308

IndividualActive

Katie Mandle, REGISTERED NURSE

NPI 1164045308 · Emergency Registered Nurse · Eagle Butte, SD

Provider details

NPI number: 1164045308
Entity type: Individual
Primary specialty: Emergency Registered NurseNursing Service Providers
Credential: REGISTERED NURSE
Sex: Female
Sole proprietor: No
License: 130108 (MO)

Practice location

24276 Airport Rd

Eagle Butte, SD 57625-8021

Phone: (605) 964-7724

More SD providers

Mailing address

Po Box 1544

Eagle Butte, SD 57625-1544

Registry dates

Enumerated: 2020-05-21
Last updated: 2020-05-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Katie Mandle, REGISTERED NURSE — NPI 1164045308, Eagle Butte, SD | NPI Central