IndividualActive
Alyssa Etzkorn, PA-C
NPI 1235780883 · Physician Assistant · Pierre, SD
Provider details
- NPI number
- 1235780883
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1218 (SD)
Practice location
100 Mac Ln
Pierre, SD 57501-3391
Phone: (605) 945-5277
Fax: (605) 945-5389
Mailing address
102 Village Dr
Pierre, SD 57501-2886
Registry dates
- Enumerated
- 2019-09-25
- Last updated
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.