Provider Demographics
NPI:1285935106
Name:EGGERS, ELIZABETH KEMPER (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KEMPER
Last Name:EGGERS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:EGGERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:3515 BROADWAY AVE.
Mailing Address - Street 2:PO BOX 7600
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-7600
Mailing Address - Country:US
Mailing Address - Phone:605-668-3100
Mailing Address - Fax:605-668-3460
Practice Address - Street 1:3515 BROADWAY AVE.
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078
Practice Address - Country:US
Practice Address - Phone:605-668-3100
Practice Address - Fax:605-668-3460
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000799363LF0000X
NE71351163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse