Breanne Rose Haller, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Sioux Falls, SD
NPI 1407209703 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1407209703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CP001090 (SD)
- Practice address
- 1310 W 22ND St
Second Floor
Sioux Falls, SD 57105-1501 - Phone
- (605) 328-8200
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP001090 | SD | Yes |
Addresses
Primary practice location
1310 W 22ND St
Second Floor
Sioux Falls, SD 57105-1501
Mailing address
1310 W 22ND St
Second Floor
Sioux Falls, SD 57105-1501
Phone (605) 328-8200
Other names
- Miss Breanne Rose Hup
Other providers in Sioux Falls, SD
- Jeremy Alan Hall
- Kasandra Hall
- Tucker Hall
- Hallem Industries LLC.
- Ethan Allan Hallem
- Elizabeth Pearl Haller
- Christine S. Halligan
- Rian Halligan
- Sean C Halligan
- Sydney Halling
All providers in Sioux Falls, SD · Family Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.