Provider Demographics
NPI:1356179386
Name:BERENS, DANICA MAE (RN)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:MAE
Last Name:BERENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:MAE
Other - Last Name:SCHULTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:CANISTOTA
Mailing Address - State:SD
Mailing Address - Zip Code:57012-0114
Mailing Address - Country:US
Mailing Address - Phone:605-467-0121
Mailing Address - Fax:
Practice Address - Street 1:1325 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR059076163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience