OrganizationActive
Avera Mckennan
NPI 1255307450 · Women's Health Nurse Practitioner · Sioux Falls, SD
Provider details
- NPI number
- 1255307450
- Entity type
- Organization
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Flicek, Ceo/President(605) 322-8000
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
911 E 20th St
Ste 200
Sioux Falls, SD 57105-1042
Phone: (605) 322-3455
Fax: (605) 322-3456
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 86370
Sioux Falls, SD 57118-6370
Other names (DBA / former)
- Doing business as
- Avera Medical Group Functional Medicine
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.