Rita D Brokenleg, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Rosebud, SD
NPI 1821147653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821147653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RO17530 (SD)
- Practice address
- Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570 - Phone
- (605) 747-2231
- Fax
- (605) 747-2216
- NPI assigned
- Jan 10, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO17530 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RO17530 | SD | Yes |
Addresses
Primary practice location
Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570
Mailing address
Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570
Phone (605) 747-2231
Other providers in Rosebud, SD
- Tracy Boyd
- Marsha M. Brackeen
- Mark A Bramblett
- Marvella Nancy Bravebird
- Jeri Brings Him Back
- Robert Marting Caldwell
- Angela Mary Carlos
- Sophie Chau
- Amina Ashraf Chaudhry
- Pauline Sylvia Cloudman
All providers in Rosebud, SD · Registered Nurse 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 8, 2007. 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.