SearchSouth Dakota363A00000X

Mary Fanta

NPI 1508774126 · on the registry since 2026

Practice

Address
400 22nd Ave
Brookings, SD 57006
Phone
(605) 697-9500
Organisation at this address
Avera Mckennan
Avera Mckennan
City Of Brookings
Rural Health Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2026-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota