Individual
MS. ANITA A PENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6511 W 41ST ST, SIOUX FALLS, SD 57106-1286
(605) 361-5100
(605) 361-9523
Mailing address
1120 KINGS RD, RAPID CITY, SD 57702-7718
(605) 388-9328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SD0324
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994609
WELLMARK INSURANCE
SD
Enumeration date
10/02/2005
Last updated
10/30/2012
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