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Avera Mckennan
Nurse Practitioner in Waubay, South Dakota
NPI 1427003946

Avera Mckennan is a Nurse Practitioner based in Waubay, SD. Avera Mckennan practices in Waubay, SD. The NPI Number for Avera Mckennan is 1427003946 and holds a License No. (South Dakota).

The current practice location address for Avera Mckennan is 80 N Main St, Waubay, SD and can be reached out via phone at 605-947-4322 and via fax at 605-947-3423.

Location: 80 N Main St, Waubay, SD, 57273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427003946
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
80 N Main St, Waubay, SD, 57273
Phone Number
605-947-4322
Fax Number
605-947-3423
Provider Enumeration Date
05/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5300800 05 SD
43D0974942 01 CLIA #
institution
Provider Business Practice Location Address Details
Address
80 N Main St
City
Waubay
State
South Dakota
Zip
57273
Phone Number
605-947-4322
Fax Number
605-947-3423
person
Provider Business Mailing Address Details
Address
80 N Main St
City
Waubay
State
South Dakota
Zip
57273
Phone Number
605-947-4322
Fax Number
605-947-3423
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
0317 (South Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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