Doctor Name: | LINDSAY MARIE RHEAULT |
NPI Number: | 1194807511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | CP000480 |
Business Practice Address: | Wellness Ctr Box 2818 Brookings, SD - 570070001 |
Business Phone Number: | 6056884157 |
Business Fax Number: | |
Mailing Address: | 45434 222nd St, RAMONA |
State: | SD |
Postal Code: | 570546108 |
Phone Number: | 6053660041 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 05/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CP000480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |