IndividualActive
Shawn Fanning
NPI 1225652282 · Emergency Registered Nurse · Rapid City, SD
Provider details
- NPI number
- 1225652282
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R029763 (SD)
Specialties & taxonomies
Nursing Service Providers
Practice location
7675 Mount Rushmore Rd
Rapid City, SD 57702-8760
Phone: (307) 752-2862
Approximate (ZIP-level) locationGet directions
Mailing address
7675 Mount Rushmore Rd
Rapid City, SD 57702-8760
Additional practice locations (1)
- KayentaHwy 160 M.p. 394.3Kayenta, AZ 86033Phone: (928) 697-4000
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.