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Brendan Wicakasota Whitebird, RN-BSN
Ambulatory Care Registered Nurse in Rapid City, South Dakota
NPI 1467211318

Brendan Wicakasota Whitebird is an Ambulatory Care Registered Nurse based in Rapid City, SD and is specialized in Ambulatory Care. Brendan Wicakasota Whitebird practices in Rapid City, SD and has the professional credentials of RN-BSN. The NPI Number for Brendan Wicakasota Whitebird is 1467211318 and holds a License No. R058640 (South Dakota).

The current practice location address for Brendan Wicakasota Whitebird is 3200 Canyon Lake Dr, Rapid City, SD and can be reached out via phone at 605-355-2500.

Location: 3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
person
Provider Profile Details
NPI Number
1467211318
Provider Name
Brendan Wicakasota Whitebird
Credential
RN-BSN
Provider Entity Type
Individual
Gender
Male
Address
3200 Canyon Lake Dr, Rapid City, SD, 57702-8114
Phone Number
605-355-2500
Fax Number
Provider Enumeration Date
03/14/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2500
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Canyon Lake Dr
City
State
Zip
57702-8114
Phone Number
605-355-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
R058640 (South Dakota)
Definition
Definition to come...
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