Individual
LONI JEAN BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 719-8382
(605) 719-4934
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-8382
(605) 719-4934
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
CP000122
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993179
WELLMARK
SD
05
—
6829590
—
SD
01
—
CP000122
CNP LICENSE
SD
01
—
R020229
RN LICENSE
SD
Enumeration date
04/07/2007
Last updated
02/16/2008
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