Toni Anders, RN

Individual provider Active NPI Emergency Registered Nurse · Eagle Butte, SD

NPI 1770097669 · NPPES record last updated Nov 30, 2017

Key facts

NPI
1770097669
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
R030163 (SD)
Practice address
24276 Airport Rd
Eagle Butte, SD 57625
Phone
(605) 964-7724
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R030163SDMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X R030163 SD Yes

Addresses

Primary practice location

24276 Airport Rd
Eagle Butte, SD 57625

Mailing address

24276 Airport Rd
Eagle Butte, SD 57625
Phone (605) 964-7724

Other providers in Eagle Butte, SD

All providers in Eagle Butte, SD · Emergency Registered Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.