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Avera Mckennan
Nurse Practitioner in Wilmot, South Dakota
NPI 1770680787

Avera Mckennan is a Nurse Practitioner based in Wilmot, SD. Avera Mckennan practices in Wilmot, SD. The NPI Number for Avera Mckennan is 1770680787 and holds a License No. (South Dakota).

The current practice location address for Avera Mckennan is 409 4Th St, Wilmot, SD and can be reached out via phone at 605-938-4351 and via fax at 605-938-4351.

Location: 409 4Th St, Wilmot, SD, 57279-2214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770680787
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
409 4Th St, Wilmot, SD, 57279-2214
Phone Number
605-938-4351
Fax Number
605-938-4351
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5300010 05 SD
43D0901649 01 SD CLIA #
institution
Provider Business Practice Location Address Details
Address
409 4Th St
City
Wilmot
State
South Dakota
Zip
57279-2214
Phone Number
605-938-4351
Fax Number
605-938-4351
person
Provider Business Mailing Address Details
Address
409 4Th St
City
Wilmot
State
South Dakota
Zip
57279-2214
Phone Number
605-938-4351
Fax Number
605-938-4351
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
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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