MRS. BAILEY B TETRAULT CNP
NPI 1639930902
Nurse Practitioner - Family in Fort Meade, SD

Active since January 23, 2024
113 COMANCHE RD # R0AD, FORT MEADE, SD 57741(605) 347-2511 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Family

About BAILEY TETRAULT

This page provides the complete NPI Profile along with additional information for Bailey Tetrault, a provider established in Fort Meade, South Dakota with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1639930902 assigned on January 2024. The practitioner's primary taxonomy code is 363LF0000X with license number CP003084 (SD). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1639930902 Verify this NPI
Provider Name
MRS. BAILEY B TETRAULT CNP
Gender
Female
Entity Type
Individual
Location Address
113 COMANCHE RD # R0AD FORT MEADE, SD 57741
Location Phone
(605) 347-2511
Mailing Address
1906 ABSAROKA ST SPEARFISH, SD 57783
Mailing Phone
(605) 478-0074
Is Sole Proprietor?
No
Enumeration Date
01-23-2024
Last Update Date
01-23-2024
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A nurse practitioner (NP) like Bailey Tetrault is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CP003084
License State
SD

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639930902, enumerated as an "individual" on January 23, 2024.

The provider is located at 113 COMANCHE RD # R0AD FORT MEADE, SD 57741 and the phone number is (605) 347-2511.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.