Individual
RYAN LAWRENCE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
7009 S CONNIE AVE, SIOUX FALLS, SD 57108-5849
(605) 228-6835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001510
SD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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