Individual
ANGELA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-6895
Mailing address
148 CORBIN JAMES CT, BOX ELDER, SD 57719-9464
(402) 618-1691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R043796
SD
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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