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MS. BRENDA MILLS PHN

Nursing Service Providers Registered Nurse Community Health

Provider NPI: 1225262009

Provider Information:
MS. BRENDA  MILLS PHN
Gender: F
Not Sole Proprietor

Practice Location:
3200 CANYON LAKE DR  RAPID CITY, SD 57702-8114 US
Tel: 603-552-5203  Fax: 605-355-2530

Business Mailing Address:
3200 CANYON LAKE DR  RAPID CITY, SD 57702-8114 US
Tel: 603-552-5203  Fax: 605-355-2530

NPI Information:
NPI: 1225262009
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
SDR021724

Other Provider Identifiers:

IssuerNumberStateType
5549050SD05
0140070SD05



American Medical Association 2012 taxonomy code information

Code: 163WC1500X

Type:

Classification:



Definition:



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