Individual
BRADLEY PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN, RN
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7376
Mailing address
20716 132ND AVE, STURGIS, SD 57785-6619
(605) 499-8910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059061
SD
164W00000X
Licensed Practical Nurse
P012489
SD
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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