Individual provider · Type 1 NPI

Shelly Rae Tibke, CNP

Family Nurse Practitioner · Sioux Falls, SD

NPI number 1487008686 Active

Practice location

911 E 20th St, Ste 700
Sioux Falls, SD 57105-1049

Fax (605) 334-0393

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR020920 (SD)
Family Nurse Practitioner Primary 363LF0000XCP001053 (SD)

Family Nurse Practitioner: Definition to come...

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About NPI 1487008686

Shelly Rae Tibke, CNP's National Provider Identifier is 1487008686, issued on Apr 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sioux Falls, SD. The record was last updated on Jun 6, 2016.