Individual
MRS. RAYNA LEA BERNADINE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114985
NE
363LF0000X
Family Nurse Practitioner
A176002
IA
363LF0000X
Family Nurse Practitioner
Primary
CP002946
SD
363LF0000X
Family Nurse Practitioner
F06230491
IA
Other
Enumeration date
06/15/2023
Last updated
09/06/2023
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