IndividualActive
Alexandra Mimmack, PA-C
NPI 1861074411 · Physician Assistant · Sioux Falls, SD
Provider details
- NPI number
- 1861074411
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1296 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4201 S Minnesota Ave
Sioux Falls, SD 57105-6705
Phone: (605) 335-3349
Approximate (ZIP-level) locationGet directions
Mailing address
4017 S Catcher Ct
Sioux Falls, SD 57110-6868
Registry dates
- Enumerated
- 2021-04-23
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.