Individual provider · Type 1 NPI

Brendan Wicakasota Whitebird, RN-BSN

Ambulatory Care Registered Nurse · Rapid City, SD

NPI number 1467211318 Active

Practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201XR058640 (SD)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1467211318

Brendan Wicakasota Whitebird, RN-BSN's National Provider Identifier is 1467211318, issued on Mar 14, 2024. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Rapid City, SD. The record was last updated on Mar 14, 2024.