Individual
SHANNON L EIDSNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
Mailing address
121 CHRISTIE SPRINGS CIR, BROOKINGS, SD 57006-4664
(605) 595-4459
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
R049650
SD
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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