Leah Mae Push, LPN
Licensed Practical Nurse in Rapid City, SD. Individual provider (NPI-1).
NPI number1467123711
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1467123711
- Entity type
- Individual (NPI-1)
- Name
- Leah Mae Push
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2021
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 23669 | NE | Yes |
Practice location
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2487
Mailing address
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2487
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All 35 Licensed Practical Nurse providers in Rapid City · All 3,899 providers in Rapid City
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