Provider Demographics
NPI:1164164273
Name:HOPKINS, RANNI MIKAEL (PA-S)
Entity Type:Individual
Prefix:
First Name:RANNI
Middle Name:MIKAEL
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 E ERSKINE ST
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-3516
Mailing Address - Country:US
Mailing Address - Phone:605-490-3483
Mailing Address - Fax:
Practice Address - Street 1:1209 E ERSKINE ST
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3516
Practice Address - Country:US
Practice Address - Phone:605-490-3483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant