Carrie J Dylla, PAC
Nurse Practitioner, Psych/Mental Health in Watertown, SD. Individual provider (NPI-1).
NPI number1245274240
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1245274240
- Entity type
- Individual (NPI-1)
- Name
- Carrie J Dylla
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1052055 | SD | Yes |
| 363A00000X | Physician Assistant | 0485 | SD |
Practice location
123 19th Street NeWatertown, SD 57201
Phone 605-886-8482 · Fax 605-884-4300
Mailing address
Po Box 1030Watertown, SD 57201
Phone 605-886-0123 · Fax 605-886-5447
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