Healthcare Provider Details

I. General information

NPI: 1699141499
Provider Name (Legal Business Name): ALYSIA DAYLE LESTER D.N.P,, C.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALYSIA DAYLE MUNNEKE B.S.N,, R.N

II. Dates (important events)

Enumeration Date: 08/15/2015
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 FAIRMONT BLVD
RAPID CITY SD
57701-7375
US

IV. Provider business mailing address

451 E CENTENNIAL ST
RAPID CITY SD
57701-7640
US

V. Phone/Fax

Practice location:
  • Phone: 605-755-8333
  • Fax:
Mailing address:
  • Phone: 605-484-6352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License NumberCNP000976
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberC-APN.0105400-C-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number11030687
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: