Anita A Pendo in Rapid City - Nurse Practitioner
Anita A Pendo - NPI 1518954817
Anita A Pendo is a Nurse Practitioner in Rapid City, South Dakota. Anita A Pendo practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Anita A Pendo is 1518954817. The last update date is 2012-10-30.
Anita A Pendo's current location address is 1120 Kings Rd, Rapid City, South Dakota. You can contact this provider via phone number 6053889328. The mailing address for Anita A Pendo is 1120 Kings Rd, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anita A Pendo |
|---|---|
| Address | 1120 Kings Rd, Rapid City, South Dakota |
| Phone Number | 6053889328 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1518954817 |
|---|---|
| Provider Enumeration Date | 2005-10-02 |
| Last Updated Date | 2012-10-30 |
Provider Mailing Address Detail
| Address | 1120 Kings Rd |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577027718 |
| Phone Number | 6053889328 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | SD0324 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4994609 | SD | WELLMARK INSURANCE |
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What is the Anita A Pendo's unique identification number?
The Anita A Pendo has been assigned the NPI (National Provider Identifier) Number 1518954817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Anita A Pendo?
The Anita A Pendo is situated at 1120 Kings Rd, in the city of Rapid City, state of SD, with the zip code 577027718.
What is the Anita A Pendo's specialty and taxonomy code?
The Anita A Pendo's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
When was the Anita A Pendo's 1518954817 issued?
The Anita A Pendo's 1518954817 was issued on 2005-10-02.
As of what date were the details related to Anita A Pendo most recently updated or revised?
The information pertaining to Anita A Pendo, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-30.
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