Mills, Brenda

Mills, Brenda is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Mills, Brenda can be contacted via phone (603) 552-5203.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (603) 552-5203
Fax: (605) 355-2530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X R021724 South Dakota

Profile Details

NPI number 1225262009
LBN Legal business name Mills, Brenda
Credentials Public Health Nurse (PHN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated May 8th, 2009 - about 17 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 1225262009 NPPES
South Dakota MEDICAID 0140070
South Dakota MEDICAID 5549050

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