Individual provider · Type 1 NPI

Tyler James Broghammer

Case Management Registered Nurse · Rapid City, SD

NPI number 1952000184 Active

Practice location

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Mailing address

131 Meade St
Rapid City, SD 57701-5589

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XR049367 (SD)

Case Management Registered Nurse: Definition to come...

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About NPI 1952000184

Tyler James Broghammer's National Provider Identifier is 1952000184, issued on Feb 27, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Rapid City, SD. The record was last updated on Feb 27, 2023.