Tracey Shilman, Licensed Practical N
Licensed Practical Nurse in Rapid City, SD. Individual provider (NPI-1).
NPI number1447921945
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1447921945
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracey Shilman
- Credential
- Licensed Practical N
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P012400 | SD | Yes |
Practice location
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2351
Mailing address
2345 E Saint Francis StRapid City, SD 57703-5968
Phone 605-545-7839
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All 35 Licensed Practical Nurse providers in Rapid City · All 3,899 providers in Rapid City
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