Individual
BRANDON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(605) 747-2231
Mailing address
PO BOX 668, ROSEBUD, SD 57570-0668
(605) 319-0804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-177440
MT
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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