Healthcare Provider Details

I. General information

NPI: 1942189741
Provider Name (Legal Business Name): RENAE L BUEHNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S MAIN ST
LENNOX SD
57039-2206
US

IV. Provider business mailing address

1325 S CLIFF AVE
SIOUX FALLS SD
57105-1007
US

V. Phone/Fax

Practice location:
  • Phone: 605-214-1946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR031793
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: