Individual
TERRIE LINN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 355-2275
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702
(605) 355-2275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R017345
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140070
—
SD
05
—
5549050
—
SD
Enumeration date
06/06/2012
Last updated
06/06/2012
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