Brandenburg, Michelle Marie

Brandenburg, Michelle Marie is an individual health care provider with primary practice located at 111 4Th St Se , Huron SD 57350-2509. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brandenburg, Michelle Marie can be contacted via phone (605) 352-8691.

Contact Information

Primary practice address
111 4Th St Se Huron SD 57350-2509
Phone: (605) 352-8691
Fax: (605) 352-8704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R024746 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP001495 South Dakota

Profile Details

NPI number 1790253953
LBN Legal business name Brandenburg, Michelle Marie
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2018
Last updated Nov 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790253953 NPPES
South Dakota Other CP001495 SOUTH DAKOTA BOARD OF NURSING

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