Tanya Good, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Rosebud, SD

NPI 1689850893 · NPPES record last updated Jan 17, 2008

Key facts

NPI
1689850893
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
66609 (NE)
Practice address
Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Jan 17, 2008
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

State licenses

LicenseStateTypeSpecialty
66609NEMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 66609 NE Yes

Addresses

Primary practice location

Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570

Mailing address

Hwy 18 Soldier Creek Road
Rosebud IHS Hospital
Rosebud, SD 57570
Phone (605) 747-2231

Other names

  • Tanya Pease Former name

Other providers in Rosebud, SD

All providers in Rosebud, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.