Individual
MARY ANN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
353 FAIRMONT BLVD., RAPID CITY, SD 57701
(605) 719-1000
(605) 719-1027
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R014468
SD
363LN0000X
Neonatal Nurse Practitioner
Primary
CP000097
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993197
WELLMARK
SD
05
—
6829310
—
SD
01
—
9254066
DAKOTACARE
SD
01
—
CP000097
CNP LICENSE
SD
01
—
R014468
RN LICENSE
SD
Enumeration date
04/07/2007
Last updated
10/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us