Ladonna Raye Bender, CNP
Individual provider Active NPI Nurse Practitioner · Belle Fourche, SD
NPI 1124069075 · NPPES record last updated Jan 27, 2009
Key facts
- NPI
- 1124069075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- CP000432 (SD)
- Practice address
- 2200 13TH Ave
Belle Fourche, SD 57717-2215 - Phone
- (605) 892-2701
- Fax
- (605) 723-0210
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP000432 | SD | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CP000432 | SD | Yes |
Addresses
Primary practice location
2200 13TH Ave
Belle Fourche, SD 57717-2215
Mailing address
2200 13TH Ave
Belle Fourche, SD 57717-2215
Phone (605) 892-2701
Other providers in Belle Fourche, SD
- Belle Drug, LLC
- Belle Fourche Counseling - LLC
- Belle Fourche Healthcare, LLC
- Belle Fourche Nursing and Rehab Center LLC
- Belle Fourche School District 9-1
- Allison Bensen
- Black Hills Optical LLP
- Black Hills Vision Care Prof LLC
- Emily Bleicher
- James D Bohl
All providers in Belle Fourche, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.