Healthcare Provider Details

I. General information

NPI: 1417805821
Provider Name (Legal Business Name): WHITNEY DEVRIES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 N BRENDAN LN
SIOUX FALLS SD
57107-1286
US

IV. Provider business mailing address

4000 N BRENDAN LN
SIOUX FALLS SD
57107-1286
US

V. Phone/Fax

Practice location:
  • Phone: 605-332-2883
  • Fax:
Mailing address:
  • Phone: 605-332-2883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR041555
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR041555
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: