ANNA L WALDNER


Address: 402 Emma Dr, Hartford, SD 57033-2061
Phone: 6054133089

ANNA L WALDNER (NPI# 1518383728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518383728
Entity Type Individual
Full Name ANNA L WALDNER
Credential FNP-C
Practice Address 402 Emma Dr
Hartford
SD 57033-2061
Practice Telephone 6054133089
Mailing Telephone 6054133089
Enumeration Date 2014-03-12
Last Update Date 2015-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CP000995 SD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD CNP NUMBER CP000995 01

Office Location

Street Address 402 EMMA DR
City HARTFORD
State SD
Zip Code 57033-2061

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City HARTFORD
Zip Code 57033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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