Individual
SARAH BENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3810 JACKSON BLVD, RAPID CITY, SD 57702-3246
(605) 343-4050
Mailing address
3810 JACKSON BLVD, RAPID CITY, SD 57702-3246
(605) 343-4050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001554
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487602843
—
SD
Enumeration date
04/04/2019
Last updated
04/04/2019
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