Individual
PATRICIA ANN SHANGREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
(605) 867-3332
Mailing address
EAST HIGWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
(605) 867-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R034803
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R034803
—
SD
Enumeration date
06/10/2010
Last updated
06/10/2010
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