Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASEY SUE ELLIS-VAN LIERE
ActiveChild & Adolescent Psychiatric Nurse · WATERTOWN, SD
Registration Details
- NPI Number
- 1578424693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2025 (0.45418184324046 yrs)
- Last Updated
- Nov 19, 2025
- License
-
R032566 (SD)
Practice Information
- Address
-
123 19TH ST NEWATERTOWN, SD, 572012823Browse SD providers · Browse ZIP 57201
- Phone
- 6058860123
- Fax
- 6058865447
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in WATERTOWN, SD
| Name | Credential | NPI |
|---|---|---|
| MRS. JEAN VANDERWEIDE | RN | 1912712035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.