Dianne Bliss, CNP
Individual provider Active NPI Neonatal Nurse Practitioner · Sioux Falls, SD
NPI 1124158316 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1124158316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal Nurse Practitioner 363LN0000X
- License
- 000114 (SD)
- Practice address
- 1305 W 18TH St
Sioux Falls, SD 57105-0401 - Phone
- (605) 328-3006
- NPI assigned
- Mar 6, 2007
- 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)
- No
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000114 | SD | MD | Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 000114 | SD | Yes |
Addresses
Primary practice location
1305 W 18TH St
Sioux Falls, SD 57105-0401
Mailing address
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-3006
Other providers in Sioux Falls, SD
- Jonathan S Bleeker
- Laura Bleeker
- Emily Blegen
- Michelle J Bleile
- Allen Deane Bliss
- Collin Jansen Block
- Hayley Block
- Joseph Block
- Kali Block
- Torre Jo Blohm
All providers in Sioux Falls, SD · Neonatal 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 Oct 21, 2011. 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.