Individual
JENNY M BOLAND-HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2800 3RD ST, RAPID CITY, SD 57701-7374
(605) 341-2000
(605) 341-0278
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000627
SD
367500000X
Certified Registered Nurse Anesthetist
R030470
SD
Other
Enumeration date
08/26/2006
Last updated
04/14/2022
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