Individual
ANASARA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
4500 N LEWIS AVE, SIOUX FALLS, SD 57104-7111
(605) 322-4669
Mailing address
25124 170TH ST, LE MARS, IA 51031-8631
(712) 333-5127
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
H123464
IA
Other
Enumeration date
08/11/2017
Last updated
09/07/2017
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