Individual
SAMANTHA RAE BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105-1514
(605) 328-3840
Mailing address
1095 PARKSIDE DR SW, HURON, SD 57350-8934
(605) 350-6310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001417
SD
Other
Enumeration date
08/10/2018
Last updated
04/18/2022
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