Individual
MRS. RENA J ROBBENNOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
608 E GARFIELD AVE, GETTYSBURG, SD 57442-1325
(605) 765-2273
(605) 765-2273
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 945-5201
(605) 765-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0200
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000200
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825682
—
SD
05
—
6825683
—
SD
Enumeration date
01/10/2006
Last updated
06/29/2012
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