NPI 1336999713 · live from the CMS NPI Registry
Black Hills Anesthesia, Prof. L.L.C.
Nurse Anesthetist, Certified Registered in Rapid City, SD. National Provider Identifier 1336999713, active.
NPI record
| NPI | 1336999713 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 240 Minnesota St, Rapid City, SD 57701 |
| Practice phone | 605-718-5123 |
| Enumerated | March 26, 2024 |
| Last updated | May 9, 2024 |
| Authorized official | Kathryn Reese, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Nurse Anesthetist, Certified Registered primary | 367500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.