Individual
JENNIFER LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-8107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001042
SD
Other
Enumeration date
12/15/2017
Last updated
05/23/2020
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