NPI 1104563204

Miranda a Nygaard, PA

Practitioner Physician Assistant Watertown, SD

Practice location

Address: 511 14th Ave NE, Watertown, SD 57201-6811
Phone: (605) 886-8482
Fax: (605) 884-4332
Mailing address: 506 1st Ave SE, Watertown, SD 57201-4499

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1385 (SD)

Other Physician Assistant providers in South Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1104563204
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2022
Record last updated: 7 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.