Provider Demographics
NPI:1265062418
Name:KURSCHAT, PATRICIA
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:KURSCHAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:KURSCHAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:107 DUPREE TRL
Mailing Address - Street 2:
Mailing Address - City:FORT PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57532-2208
Mailing Address - Country:US
Mailing Address - Phone:406-253-1694
Mailing Address - Fax:
Practice Address - Street 1:107 DUPREE TRL
Practice Address - Street 2:
Practice Address - City:FORT PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57532-2208
Practice Address - Country:US
Practice Address - Phone:406-253-1694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD045444163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse