Basic Information
| Provider Information | |||||||||
| NPI: | 1427463371 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STAUSS | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | CECILIA | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 S CLIFF AVE | ||||||||
| Address2: | PLAZA 2 SUITE 401 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227300 | ||||||||
| FaxNumber: | 6053227301 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 S CLIFF AVE | ||||||||
| Address2: | PLAZA 2 SUITE 401 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227300 | ||||||||
| FaxNumber: | 6053227301 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2014 | ||||||||
| LastUpdateDate: | 07/07/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | CP000862 | SD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.