Individual
SHAWNEE EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
PO BOX 15, CAPUTA, SD 57725-0015
(605) 787-2644
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CP002512
SD
Other
Enumeration date
09/14/2022
Last updated
02/07/2023
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