Individual
SHARRON K BRAMBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP PAC
Contact information
Practice address
7236 JORDAN DR, SUITE 100 A, RAPID CITY, SD 57702-8740
(605) 718-3747
(605) 718-3047
Mailing address
7236 JORDAN DR, STE 100A, RAPID CITY, SD 57702-8740
(605) 718-3747
(605) 718-3047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0192
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6201104
—
SD
01
—
7511
UNSPECIFIED
SD
Enumeration date
07/05/2006
Last updated
03/13/2017
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