Linda Bruguier, RN

Individual provider Active NPI Registered Nurse · Eagle Butte, SD

NPI 1326413618 · NPPES record last updated Dec 11, 2015

Key facts

NPI
1326413618
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R045299 (SD)
Practice address
24276 166 St Airport Rd
Box 1012
Eagle Butte, SD 57625
Phone
(605) 964-7724
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R045299SDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R045299 SD Yes

Addresses

Primary practice location

24276 166 St Airport Rd
Box 1012
Eagle Butte, SD 57625

Mailing address

24276 166 St Airport Rd
Box 1012
Eagle Butte, SD 57625
Phone (605) 964-7724

Other providers in Eagle Butte, SD

All providers in Eagle Butte, SD · Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.