Pentecost, Lisa Ann

Pentecost, Lisa Ann is an individual health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701-7375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Pentecost, Lisa Ann can be contacted via phone (605) 719-8382.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701-7375
Phone: (605) 719-8382
Fax: (605) 719-4934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0137 South Dakota

Profile Details

NPI number 1447373329
LBN Legal business name Pentecost, Lisa Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Feb 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447373329 NPPES
South Dakota Other R025334 RN LICENSE
South Dakota MEDICAID 6829780 RN LICENSE
South Dakota Other 4993198 RN LICENSE
South Dakota Other 0137 RN LICENSE

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