MS. BRENDA MILLS PHN NPI 1225262009

NPI Information

NPI: 1225262009
Provider Name: MS. BRENDA MILLS, PHN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (603) 552-5203
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MS. Brenda Mills, PHN is a community health registered nurse in Rapid City, SD. MS. Brenda Mills, PHN NPI is 1225262009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-114
Phone: (603) 552-5203
Fax: (605) 355-2530

The enumeration date for this NPI number is 5/8/2009 and was last updated on 5/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	R021724	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	430082	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
2	PHS000	MEDICARE UPIN	SOUTH DAKOTA
3	HSZ050	MEDICARE PIN	SOUTH DAKOTA
4	5549050	MEDICAID	SOUTH DAKOTA
5	0140070	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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