Individual
MRS. ASHLEY ROSE RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-2190
Mailing address
441 WILLIAMS ST, SCOTLAND, SD 57059-2047
(605) 202-0094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003030
SD
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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