Mrs Ashley Rose Runyon, CNP | |
410 W 16th Ave, Tyndall, SD 57066-2318 | |
(605) 589-2190 | |
Not Available |
Full Name | Mrs Ashley Rose Runyon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 410 W 16th Ave, Tyndall, 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 |
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1104691062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP003030 (South Dakota) | Primary |
Entity Name | St Michael's Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467496158 PECOS PAC ID: 2668380262 Enrollment ID: O20081010000300 |
Entity Name | St Michael's Hospital, Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1730123522 PECOS PAC ID: 2668380262 Enrollment ID: O20101007000239 |
Mailing Address | Practice Location Address |
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Mrs Ashley Rose Runyon, CNP 441 Williams St, Scotland, SD 57059-2047 Ph: (605) 202-0094 | Mrs Ashley Rose Runyon, CNP 410 W 16th Ave, Tyndall, SD 57066-2318 Ph: (605) 589-2190 |
Janelle Kay Kriz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-2190 | |
Annie Elizabeth Thury, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 W 16th Ave, Tyndall, SD 57066 Phone: 605-589-3341 |