Provider Demographics
NPI:1891009973
Name:STAPERT, KARA K (CNP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:K
Last Name:STAPERT
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 MOUNTAIN VIEW RD STE 108
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-4354
Mailing Address - Country:US
Mailing Address - Phone:605-343-7295
Mailing Address - Fax:605-343-0138
Practice Address - Street 1:1600 MOUNTAIN VIEW RD STE 108
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-4354
Practice Address - Country:US
Practice Address - Phone:605-343-7295
Practice Address - Fax:605-343-0138
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP000601363LF0000X
SDR033763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily