Heidi Waters
Registered Nurse in Vermillion, SD. Individual provider (NPI-1).
NPI number1316616634
StatusActive
Last updated in NPPESSep 9, 2021
Details
- NPI
- 1316616634
- Entity type
- Individual (NPI-1)
- Name
- Heidi Waters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2021
- Certification date
- Sep 9, 2021
- Last updated
- Sep 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R030141 | SD | Yes |
Practice location
804 Lewis StVermillion, SD 57069-3302
Phone 605-670-1496
Mailing address
804 Lewis StVermillion, SD 57069-3302
Phone 605-670-1496
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