LEONNE TANIS

RAPID CITY, SD
NPI1356086375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: DC  CNM1059184)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: DC  NP1059184)
367A00000X Advanced Practice Midwife
(Licence: MD  R252825)
Enumeration Date2022-05-03
Last Update Date2022-07-26
Business Address
LEONNE TANIS CNM, WHNP-BC
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-342-7400
Mailing Address
LEONNE TANIS CNM, WHNP-BC
69 FOREST ST
MONTCLAIR, NJ 07042-3810
Phone number: 718-594-0366