Provider Demographics
NPI:1417330879
Name:KRIER, NICHOLE R (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:R
Last Name:KRIER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:NICHOLE
Other - Middle Name:R
Other - Last Name:RUECKERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2601 S ELLIS RD
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-7067
Practice Address - Country:US
Practice Address - Phone:605-332-2883
Practice Address - Fax:605-328-9001
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000943363LF0000X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDCP000943OtherNURSE PRACTITIONER LICENSE