IndividualActive
Mary Mousseau, RN
NPI 1649430836 · Community Health Registered Nurse · Pine Ridge, SD
Provider details
- NPI number
- 1649430836
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R022007 (SD)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
E Hwy 18
Pine Ridge, SD 57770
Phone: (605) 867-3145
Fax: (605) 867-3307
Approximate (ZIP-level) locationGet directions
Mailing address
Box 1201
Pine Ridge, SD 57770
Registry dates
- Enumerated
- 2008-06-11
- Last updated
- 2008-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.