Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRA KATHRYN MIMMACK, PA-C
ActiveALEXANDRA KATHRYN MIMMACK, PA-C is a Physician Assistant healthcare provider located in SIOUX FALLS, South Dakota. NPI 1861074411 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SIOUX FALLS, SD
Registration Details
- NPI Number
- 1861074411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2021 (5.3345294744979 yrs)
- Last Updated
- Mar 22, 2024
- License
-
1296 (SD)
Practice Information
- Address
-
4201 S MINNESOTA AVESIOUX FALLS, SD, 571056705Browse SD providers · Browse ZIP 57105
- Phone
- 6053353349
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SIOUX FALLS, SD
| Name | Credential | NPI |
|---|---|---|
| RICHARD E. ZIESKE | PA | 1629072475 |
| BONNIE L. BLEEKER | PA-C | 1083618631 |
| SHELLEY R. SMEDSRUD | PA | 1972509446 |
| KATHIE JOY DAAK | PA | 1386640225 |
| JENNIFER L HOUWMAN | PA-C | 1720084569 |
| TAMMI K STANGOHR | PA-C | 1164428918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.