Individual
WENDY S WELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, PAT FINANCIAL SERVICES, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R024281-0375
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003551
SD BLUE CROSS PROV #
SD
01
—
013K5SC
MN BLUE CROSS PROVIDER #
MN
05
—
1536607
—
IA
05
—
258683500
—
MN
05
—
460224743-48
—
NE
01
—
460224743-57105-AE55
TRICARE
SD
05
—
5751402
—
SD
01
—
R024281
DAKOTACARE
SD
Enumeration date
08/12/2006
Last updated
08/20/2010
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