Brenda R Collins, AGPCNP-BC | |
100 Lake Traverse Dr, Sisseton, SD 57262-7046 | |
(605) 698-7606 | |
(605) 742-0182 |
Full Name | Brenda R Collins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 100 Lake Traverse Dr, Sisseton, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750730966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | CP001226 (South Dakota) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | R32069 (North Dakota) | Secondary |
Entity Name | Psj Acquisition Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
Mailing Address | Practice Location Address |
---|---|
Brenda R Collins, AGPCNP-BC 510 4th St S, Fargo, ND 58103-1914 Ph: (701) 476-7823 | Brenda R Collins, AGPCNP-BC 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606 |
Faith Ann Phillips, DNP, RNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Mr. Robert Michael Keller Jr., ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 E Chestnut St, Sisseton, SD 57262 Phone: 605-698-7606 | |
Jay S Guikema, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 056-987-6066 | |
Ms. Katherine Joan Mackenzie, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Ms. Carmen Maria Redlin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tina E Evenson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Tenecia Mason, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 |