Amiee L Brown
Individual provider Active NPI Emergency Registered Nurse · Canistota, SD
NPI 1861999641 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1861999641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- R043279 (SD)
- Practice address
- 341 Ash Street
Canistota, SD 57012 - Phone
- (605) 350-5356
- NPI assigned
- Apr 9, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043279 | SD | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse |
163WE0003X | R043279 | SD | Yes |
Addresses
Primary practice location
341 Ash Street
Canistota, SD 57012
Mailing address
PO Box 305
Canistota, SD 57012-0305
Other providers in Canistota, SD
All providers in Canistota, SD · Emergency 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 Apr 9, 2018. 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.