Individual
BRENTON R RAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 S TAMIAMI TRL, SARASOTA, FL 34239-4504
(941) 480-2135
Mailing address
PO BOX 5053, SIOUX FALLS, SD 57117-5053
(605) 328-6548
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000631
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5754920
—
SD
Enumeration date
02/14/2006
Last updated
11/27/2023
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