Provider Demographics
NPI:1447709258
Name:DEKKERS, LORINDA ANN (RN)
Entity type:Individual
Prefix:
First Name:LORINDA
Middle Name:ANN
Last Name:DEKKERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-6399
Mailing Address - Country:US
Mailing Address - Phone:605-743-2567
Mailing Address - Fax:605-271-0410
Practice Address - Street 1:2401 W 95TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6399
Practice Address - Country:US
Practice Address - Phone:605-743-2567
Practice Address - Fax:605-271-0410
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR042565163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool