Individual
SHANNON ALICE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
101 S FRONT ST, CHAMBERLAIN, SD 57325-1615
(605) 234-6584
Mailing address
2515 ANTHONY AVE, MITCHELL, SD 57301-6258
(605) 999-4158
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CP001916
SD
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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