DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONNIE JO WALTERS, LPN

Active Sole Proprietor

CONNIE JO WALTERS, LPN is a Registered Nurse healthcare provider located in EAGLE BUTTE, South Dakota. NPI 1881134112 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · EAGLE BUTTE, SD

Registration Details

NPI Number
1881134112
Provider Type
Individual
Gender
Female
NPI Issued
Mar 6, 2017 (9.4343846795934 yrs)
Last Updated
Jun 22, 2021
Licenses
P012241 (SD)
R054232 (SD)
Sole Proprietor
Yes

Practice Information

Address
24276 166TH STREET AIRPORT RD
EAGLE BUTTE, SD, 576251012
Browse SD providers · Browse ZIP 57625
Phone
6059647724
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in EAGLE BUTTE, SD

Name Credential NPI
MS. JOHNNA RAE WATT RN, BSN 1114040243
CATHERINE RAELEEN CLOWN RN 1124247549
RUTH ANN GESINGER RN 1003035163
MARY K. DOSCH RN 1558580613
BETTY E COOK REGISTERED NURSE 1821218595
ELAINE C BREHMER RN 1548480726
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.