| Anna Malena Waterland Dykstra, CNM | |
| 
					6015 Mount Rushmore Rd, Rapid City, SD 57701-8983  | |
| (605) 343-9224 | |
| (605) 342-1359 | 
| Full Name | Anna Malena Waterland Dykstra | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 6015 Mount Rushmore Rd, Rapid City, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174278626 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary | 
| Entity Name | Pine Ridge Indian Health Service Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anna Malena Waterland Dykstra, CNM 6015 Mount Rushmore Rd Ste 2, Rapid City, SD 57701-8984 Ph: (605) 343-9224  | Anna Malena Waterland Dykstra, CNM 6015 Mount Rushmore Rd, Rapid City, SD 57701-8983 Ph: (605) 343-9224  | 
Mrs. Sandra Kay Goodman, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 640 Flormann St, Rapid City, SD 57701 Phone: 605-342-7400  | |
Mrs. Jennifer Nicole Bonner, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7236 Jordan Dr Ste 100a, Rapid City, SD 57702 Phone: 605-718-3747  | |
Chelsea Lynn Iversen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6015 Mount Rushmore Rd Ste 2, Rapid City, SD 57701 Phone: 605-343-9224 Fax: 605-342-1359  | |
Keirsta M Ragels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280  | |
Karen W Pettigrew, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 504 E Monroe St, Rapid City, SD 57701 Phone: 605-721-8939 Fax: 605-394-5217  | |
Mrs. Amanda Mytt Youngers, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500  |