Individual
ANNA MALENA WATERLAND DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6015 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-8983
(605) 343-9224
(605) 342-1359
Mailing address
6015 MOUNT RUSHMORE RD STE 2, RAPID CITY, SD 57701-8984
(605) 343-9224
(605) 342-1359
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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