Individual
STACY A BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-4917
(605) 668-3100
Mailing address
3515 BROADWAY AVE, YANKTON, SD 57078-4917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111925
NE
363LF0000X
Family Nurse Practitioner
Primary
CP000992
SD
Other
Enumeration date
10/27/2015
Last updated
04/22/2021
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