NPI 1003527300

Alexis Breanne Miranda

Practitioner Case Manager/Care Coordinator Rapid City, SD

Practice location

Address: 111 North St, Rapid City, SD 57701-1163
Phone: (605) 343-0650
Fax: (605) 342-3692
Mailing address: 350 Elk St, Rapid City, SD 57701-7351

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003527300
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2022
Record last updated: 7 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.