MRS. MARY C EWING FNP
NPI 1326002916
Nurse Practitioner - Family in Rapid City, SD

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 12, 2006

3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2443(605) 355-2403 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Mary C Ewing Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY C EWING FNP (NPI 1326002916) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP000258) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1326002916

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARY C EWINGCredential: FNP

Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114

Mailing Address3200 Canyon Lake DrRapid City, SD 57702-8114 · (605) 355-2443 · Fax (605) 355-2403

Phone(605) 355-2443

Fax(605) 355-2403

Sole ProprietorNo

Enumeration DateApril 12, 2006

Last NPPES UpdateOctober 28, 2011

✔ NPI 1326002916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP000258

3200 CANYON LAKE DR, Rapid City, SD 57702

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Other Identifiers 3

Medicare UPINP73833SD

Medicare ID-Type Unspecified8HAZ12SD

Medicaid5549050SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINNEA ANN PUTNAM PHARM.D.,MBA

Pharmacist (Pharmacotherapy)