# LONI JEAN BEDARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861515744
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | CP000122 | SD | Yes |

## Other

- **Enumeration date:** 04/07/2007
- **Last updated:** 02/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4993179 | WELLMARK | SD |
| 05 | — | 6829590 | — | SD |
| 01 | — | CP000122 | CNP LICENSE | SD |
| 01 | — | R020229 | RN LICENSE | SD |