Leonne Tanis, CNM, WHNP-BC | |
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
(605) 342-7400 | |
Not Available |
Full Name | Leonne Tanis |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356086375 | NPI | - | NPPES |
R252825 | Other | MD | MARYLAND BOARD OF NURSING |
CNM1059184 | Other | DC | DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH |
NP1059184 | Other | DC | DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH |
Entity Name | Medical Faculty Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
Mailing Address | Practice Location Address |
---|---|
Leonne Tanis, CNM, WHNP-BC 69 Forest St, Montclair, NJ 07042-3810 Ph: (718) 594-0366 | Leonne Tanis, CNM, WHNP-BC 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 342-7400 |
Mrs. Sandra Kay Goodman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-342-7400 | |
Mrs. Jennifer Nicole Bonner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7236 Jordan Dr Ste 100a, Rapid City, SD 57702 Phone: 605-718-3747 | |
Anna Malena Waterland Dykstra, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6015 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-343-9224 Fax: 605-342-1359 | |
Chelsea Lynn Iversen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6015 Mount Rushmore Rd Ste 2, Rapid City, SD 57701 Phone: 605-343-9224 Fax: 605-342-1359 | |
Keirsta M Ragels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Karen W Pettigrew, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 504 E Monroe St, Rapid City, SD 57701 Phone: 605-721-8939 Fax: 605-394-5217 | |
Mrs. Amanda Mytt Youngers, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 |