Jamie Laird Waldera, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Winona, MN. Individual provider (NPI-1).
NPI number1043095649
StatusActive
Last updated in NPPESAug 30, 2023
Details
- NPI
- 1043095649
- Entity type
- Individual (NPI-1)
- Name
- Jamie Laird Waldera
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2023
- Certification date
- Aug 30, 2023
- Last updated
- Aug 30, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 10728 | MN | Yes |
Practice location
855 Mankato AveWinona, MN 55987-4868
Phone 597-457-4484
Mailing address
2504 Hass StLa Crosse, WI 54601-7624
Phone 608-385-7504
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Winona, MN
- Associates In Mental Health And Addiction Services. P.L.L.CNPI 1366056806
- Sheila M Dunn, PMHNP-BCNPI 1629601059
- Anisa MohamedNPI 1427498989
- River City Psychiatric Services, LLCNPI 1053082446
All 5 Psychiatric/Mental Health Nurse Practitioner providers in Winona · All 1,070 providers in Winona
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