Provider Demographics
NPI:1710981675
Name:VEURINK, PAMELA ANN (PA-C, NP, RN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ANN
Last Name:VEURINK
Suffix:
Gender:F
Credentials:PA-C, NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:PLATTE
Mailing Address - State:SD
Mailing Address - Zip Code:57369-0818
Mailing Address - Country:US
Mailing Address - Phone:605-337-1503
Mailing Address - Fax:605-337-3360
Practice Address - Street 1:601 E 7TH ST
Practice Address - Street 2:STE 3
Practice Address - City:PLATTE
Practice Address - State:SD
Practice Address - Zip Code:57369-2123
Practice Address - Country:US
Practice Address - Phone:605-337-1503
Practice Address - Fax:605-337-3360
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0212363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6820913Medicaid
SD6820912Medicaid
SD6820913Medicaid
SDS101224Medicare PIN