Pendo, Anita A

Pendo, Anita A is an individual health care provider with primary practice located at 6511 W 41St St , Sioux Falls SD 57106-1286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pendo, Anita A can be contacted via phone (605) 361-5100.

Contact Information

Primary practice address
6511 W 41St St Sioux Falls SD 57106-1286
Fax: (605) 361-9523
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SD0324 South Dakota

Profile Details

NPI number 1518954817
LBN Legal business name Pendo, Anita A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2005
Last updated Oct 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518954817 NPPES
South Dakota Other 4994609 WELLMARK INSURANCE

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