Individual
ANNA L WALDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
SEASONS CENTER FOR BEHAVIORAL HEALTH, 201 E 11TH STREET, SPENCER, IA 51301-0000
(712) 262-2922
Mailing address
402 EMMA DR, HARTFORD, SD 57033-2061
(605) 413-3089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000995
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G151373
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP000995
CNP NUMBER
SD
Enumeration date
03/12/2014
Last updated
05/06/2021
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