Provider Demographics
NPI:1568436236
Name:HARPER, DARCI J (CNP)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:J
Last Name:HARPER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:DARCI
Other - Middle Name:J
Other - Last Name:DAHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:FAITH
Mailing Address - State:SD
Mailing Address - Zip Code:57626-0577
Mailing Address - Country:US
Mailing Address - Phone:605-967-2644
Mailing Address - Fax:605-967-2844
Practice Address - Street 1:112 N 2ND AVE W
Practice Address - Street 2:
Practice Address - City:FAITH
Practice Address - State:SD
Practice Address - Zip Code:57626-0577
Practice Address - Country:US
Practice Address - Phone:605-967-2644
Practice Address - Fax:605-967-2844
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0218363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD40382OtherPT B
SD5350130Medicaid
SD40382OtherPT B
SD5350130Medicaid