Healthcare Provider Details

I. General information

NPI: 1366991192
Provider Name (Legal Business Name): CINDY BEGLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 6TH ST
RAPID CITY SD
57701-5034
US

IV. Provider business mailing address

300 6TH ST
RAPID CITY SD
57701-5034
US

V. Phone/Fax

Practice location:
  • Phone: 605-394-4010
  • Fax: 605-394-1820
Mailing address:
  • Phone: 605-394-4010
  • Fax: 605-394-1820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRO16282
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: