Individual
ANGELA D LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 E 26TH ST, SIOUX FALLS, SD 57105-4046
(605) 338-7098
(605) 335-3505
Mailing address
1005 W GOLDEN EAGLE ST, SIOUX FALLS, SD 57108-4839
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-1171
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633596-01
—
HI
Enumeration date
03/19/2009
Last updated
09/19/2018
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