Individual
PATRICIA LYNN ANNETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1065 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-2237
(605) 673-3593
Mailing address
1065 MONTGOMERY ST, CUSTER, SD 57730-1304
(605) 673-2237
(605) 673-3593
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001590
SD
Other
Enumeration date
07/03/2019
Last updated
05/20/2020
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