Individual
LAURI A WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-4917
(605) 668-3134
Mailing address
1028 WALNUT ST, YANKTON, SD 57078-2910
(605) 668-3134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PENDING
SD
Other
Enumeration date
08/20/2019
Last updated
02/12/2021
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