Organization · Type 2 NPI

Avera McKennan

Nurse Practitioner · Tea, SD

NPI number 1831230408 Active

Practice location

725 E Figzel Ct, Suite 100
Tea, SD 57064-2276

Mailing address

PO Box 90608
Sioux Falls, SD 57109-0608

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

About NPI 1831230408

Avera McKennan's National Provider Identifier is 1831230408, issued on Feb 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tea, SD. The record was last updated on Sep 11, 2025.