Provider Demographics
NPI:1457026551
Name:JUNGE, FILIZ MADALINA (CNP)
Entity Type:Individual
Prefix:
First Name:FILIZ
Middle Name:MADALINA
Last Name:JUNGE
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S ANNA AVE
Mailing Address - Street 2:
Mailing Address - City:HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:56138-1047
Mailing Address - Country:US
Mailing Address - Phone:605-941-7929
Mailing Address - Fax:
Practice Address - Street 1:4500 N LEWIS AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57104-7111
Practice Address - Country:US
Practice Address - Phone:605-322-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP002100363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily