Provider Demographics
NPI:1659718187
Name:PEPPER, ARTHUR JAMES (CNP)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:JAMES
Last Name:PEPPER
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E 8TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-2634
Mailing Address - Country:US
Mailing Address - Phone:605-842-2626
Mailing Address - Fax:605-842-3557
Practice Address - Street 1:1417 S MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1715
Practice Address - Country:US
Practice Address - Phone:605-305-4080
Practice Address - Fax:605-305-4085
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000779363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDCP000779OtherPROFESSIONAL LICENSE