| Mrs Tavane Elizabeth Harrison, CNP | |
| 
					330 Dakota Dunes Blvd, Dakota Dunes, SD 57049-5461  | |
| (712) 294-7390 | |
| Not Available | 
| Full Name | Mrs Tavane Elizabeth Harrison | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 330 Dakota Dunes Blvd, Dakota Dunes, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558609107 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP000763 (South Dakota) | Primary | 
| Entity Name | Family Health Care Of Siouxland Plc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437170685 PECOS PAC ID: 7315839412 Enrollment ID: O20040604000731  | 
| Entity Name | Mercy Medical Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548203193 PECOS PAC ID: 5799694063 Enrollment ID: O20080813000433  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tavane Elizabeth Harrison, CNP 330 Dakota Dunes Blvd, Dakota Dunes, SD 57049-5461 Ph: (712) 294-7390  | Mrs Tavane Elizabeth Harrison, CNP 330 Dakota Dunes Blvd, Dakota Dunes, SD 57049-5461 Ph: (712) 294-7390  | 
Alexandria Lynn Kohn, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 712-222-7960 Fax: 472-222-7961  | |
Ellen T Wengert, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 Phone: 605-217-5500 Fax: 605-217-5515  | |
Nicolle Marie Weaver, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900  | |
Mrs. Rayna Lea Bernadine Mccormick, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900  | |
Brooke M Buum, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900  | |
Sandra Louise Shumaker, ACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 Spyglass Cir, Cnos, Pc, Dakota Dunes, SD 57049 Phone: 712-490-8422  | |
Allison Faye Pedersen,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 575 N Sioux Point Rd, Dakota Dunes, SD 57049 Phone: 605-217-2667 Fax: 605-217-2900  |