Individual provider · Type 1 NPI

Breanne Maray Sande Russell, PhD

Student in an Organized Health Care Education/Training Program · Sioux Falls, SD

NPI number 1508773243 Active

Practice location

4400 W 69th St
Sioux Falls, SD 57108-8170

Call (605) 322-4005 Map

Mailing address

1181 Edgcumbe Rd Apt 104
St. Paul, MN 55105-2832

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508773243

Breanne Maray Sande Russell, PhD's National Provider Identifier is 1508773243, issued on Aug 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sioux Falls, SD. The record was last updated on Aug 26, 2026.