Provider Demographics
NPI:1811223639
Name:ERPENBACH, ALETHA KAY (NP-C)
Entity Type:Individual
Prefix:
First Name:ALETHA
Middle Name:KAY
Last Name:ERPENBACH
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0900
Mailing Address - Country:US
Mailing Address - Phone:605-504-5195
Mailing Address - Fax:605-504-5150
Practice Address - Street 1:916 HOLDER ST
Practice Address - Street 2:
Practice Address - City:LARCHWOOD
Practice Address - State:IA
Practice Address - Zip Code:51241-7796
Practice Address - Country:US
Practice Address - Phone:712-477-2185
Practice Address - Fax:712-477-2186
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000579363LF0000X
IAA137379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily