Individual
MRS. JEAN VANDERWEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 19TH ST NE, WATERTOWN, SD 57201-3936
(605) 884-1083
Mailing address
4 19TH ST NE, WATERTOWN, SD 57201-3936
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
SD-RN-R030001
SD
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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