Individual
MS. MEGAN LEIGH DISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, CNP
Contact information
Practice address
520 KANSAS CITY ST STE 102, RAPID CITY, SD 57701-2766
(605) 716-3609
(605) 716-3707
Mailing address
520 KANSAS CITY ST STE 102, RAPID CITY, SD 57701-2766
(605) 716-3609
(605) 716-3707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R055739
SD
363L00000X
Nurse Practitioner
CP003456
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024088151
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP003456
SD
Other
Enumeration date
10/01/2008
Last updated
04/28/2026
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