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Individual

SHELLY RAE TIBKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
911 E 20TH ST, STE 700, SIOUX FALLS, SD 57105-1049
(605) 334-0393
(605) 334-0393
Mailing address
911 E 20TH ST, STE 700, SIOUX FALLS, SD 57105-1049
(605) 334-0393
(605) 334-0393

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R020920
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001053
SD

Other

Enumeration date
04/14/2016
Last updated
06/06/2016
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