NPI

Myranda Elmer

NPI 1063361665

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CLC
Type
Individual
Enumeration date
2026-01-26
Last updated
2026-01-26

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Specialties

Licenses

License 1
ALPP-312806

Location

Practice location
1007 N Main St
City
Mobridge SD
Postal code
57601-1733
Phone
(701) 299-8520

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mobridge, SD. 81 records in the public file.

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