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Prairie Phoenix Pllc
Family Nurse Practitioner in Flandreau, South Dakota
NPI 1942875166

Prairie Phoenix Pllc is a Family Nurse Practitioner based in Dell Rapids, SD and is specialized in Family. Prairie Phoenix Pllc practices in Flandreau, SD. The NPI Number for Prairie Phoenix Pllc is 1942875166 and holds a License No. (South Dakota).

The current practice location address for Prairie Phoenix Pllc is 120 N Wind St, Flandreau, SD and can be reached out via phone at 605-428-3040.

Location: 120 N Wind St, Flandreau, SD, 57022-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942875166
Provider Name
Prairie Phoenix Pllc
Credential
Provider Entity Type
Organization
Address
120 N Wind St, Flandreau, SD, 57022-1524
Phone Number
605-428-3040
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363LF0000X 01 SD LICENSE
institution
Provider Business Practice Location Address Details
Address
120 N Wind St
City
Flandreau
State
South Dakota
Zip
57028-1245
Phone Number
605-428-3040
Fax Number
person
Provider Business Mailing Address Details
Address
120 N Wind St
City
Flandreau
State
South Dakota
Zip
57028-1245
Phone Number
605-428-3040
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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