Individual
RILEY ANN MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRACTICAL NURSE
Contact information
Practice address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
Mailing address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P012762
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P012762
LPN
SD
Enumeration date
07/23/2018
Last updated
07/23/2018
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