Organization · Type 2 NPI
Prairie Phoenix PLLC
Family Nurse Practitioner · Flandreau, SD
NPI number
1942875166
Active
Practice location
120 N Wind St
Flandreau, SD 57028-1245
Mailing address
330 W 10th St Apt 6
Dell Rapids, SD 57022-1524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1942875166
Prairie Phoenix PLLC's National Provider Identifier is 1942875166, issued on May 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flandreau, SD. The record was last updated on May 28, 2021.