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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAIRIE PHOENIX PLLC

Active Organization

PRAIRIE PHOENIX PLLC is a Family Nurse Practitioner organization located in FLANDREAU, South Dakota. NPI 1942875166 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FLANDREAU, SD

Registration Details

NPI Number
1942875166
Provider Type
Organization
NPI Issued
May 20, 2021 (5.2240506689258 yrs)
Last Updated
May 28, 2021

Practice Information

Address
120 N WIND ST
FLANDREAU, SD, 570281245
Browse SD providers · Browse ZIP 57028
Phone
6054283040
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.