SearchSouth Dakota163WE0003X

Shawn Fanning

NPI 1225652282 · on the registry since 2020

Practice

Address
7675 Mount Rushmore Rd
Rapid City, SD 57702
Phone
(307) 752-2862

Additional practice sites

  • Kayenta, Kayenta, AZ

Registry record

Primary taxonomy
163WE0003X
163WE0003X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota