Individual
SUSAN LEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P
Contact information
Practice address
409 4TH ST, WILMOT, SD 57279-2214
(605) 938-4351
(605) 938-4351
Mailing address
14346 SD HIGHWAY 15, MILBANK, SD 57252-5415
(605) 432-4790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R023955
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R023955
NURSE'S LICENSE
SD
Enumeration date
04/17/2006
Last updated
03/07/2023
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