Most Relevant Information
Provider Data
| NPI Number: | 1003581141 |
| Provider Name: | BRITTNEY MICHELE KORTHALS CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | CP002102 |
Most Important Dates
| Enumeration Date: | 08/11/2021 |
| Last Updated: | 08/11/2021 |
Provider Practice Location
809 JACKSON ST
BURKE
SD
575232065
Practice Location Phone/Fax
| Phone: | 6057752621 |
| Fax: |
Provider Mailing Location
809 JACKSON ST
BURKE
SD
575232065
Provider Mailing Phone/Fax
| Phone: | 6057752621 |
| Fax: |