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Lisa Ann Pentecost, CNP
Neonatal Nurse Practitioner in Rapid City, South Dakota
NPI 1447373329

Lisa Ann Pentecost is a Neonatal Nurse Practitioner based in Rapid City, SD and is specialized in Neonatal. Lisa Ann Pentecost practices in Rapid City, SD and has the professional credentials of CNP. The NPI Number for Lisa Ann Pentecost is 1447373329 and holds a License No. 0137 (South Dakota).

The current practice location address for Lisa Ann Pentecost is 353 Fairmont Blvd, Rapid City, SD and can be reached out via phone at 605-719-8382 and via fax at 605-719-4934.

Location: 353 Fairmont Blvd, Rapid City, SD, 57709-3450
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Provider Profile Details
NPI Number
1447373329
Provider Name
Lisa Ann Pentecost
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
353 Fairmont Blvd, Rapid City, SD, 57709-3450
Phone Number
605-719-8382
Fax Number
605-719-4934
Provider Enumeration Date
04/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R025334 01 SD RN LICENSE
6829780 05 SD
4993198 01 SD WELLMARK
0137 01 SD CNP LICENSE
institution
Provider Business Practice Location Address Details
Address
353 Fairmont Blvd
City
State
Zip
57701-7375
Phone Number
605-719-8382
Fax Number
605-719-4934
person
Provider Business Mailing Address Details
Address
353 Fairmont Blvd
City
State
Zip
57701-7375
Phone Number
605-719-8382
Fax Number
605-719-4934
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
0137 (South Dakota)
Definition
Definition to come...
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