NPI 1699496430 · live from the CMS NPI Registry
Elise Marie Lebrun
Nurse Anesthetist, Certified Registered in Sioux Falls, SD. National Provider Identifier 1699496430, active.
NPI record
| NPI | 1699496430 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Anesthetist, Certified Registered 367500000X |
| Practice location | 1305 W 18th St, Sioux Falls, SD 57105 |
| Practice phone | 605-333-1000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | September 9, 2022 |
| Last updated | November 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | CR001124 (SD) |
| Nurse Anesthetist, Certified Registered primary | 367500000X | CR001124 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.