Whalio Doctors

NPI 1760114755

Rachel Nicole Bruening, PAC

Practitioner Physician Assistant Clear Lake, SD

Practice location

Address
701 3rd Ave S, Clear Lake, SD 57226-2016
Phone
(605) 874-2141
Mailing address
PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 14143 (MN)

Registry record

NPI
1760114755
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Jun 2022
Record last updated
30 Jan 2023

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.