Individual
MICHELLE MARIE BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
111 4TH ST SE, HURON, SD 57350-2509
(605) 352-8691
(605) 352-8704
Mailing address
111 4TH ST SE, HURON, SD 57350-2509
(605) 352-8691
(605) 352-8704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R024746
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001495
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001495
SOUTH DAKOTA BOARD OF NURSING
SD
Enumeration date
11/06/2018
Last updated
11/06/2018
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