| Mrs Bonny Lou Sandvik, LPN | |
|
123 19th St Ne, Watertown, SD 57201-2823 | |
| (605) 886-0123 | |
| (605) 886-5447 |
| Full Name | Mrs Bonny Lou Sandvik |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 123 19th St Ne, Watertown, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558356576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P006071 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Bonny Lou Sandvik, LPN Po Box 1030, Watertown, SD 57201-6030 Ph: (605) 886-0123 | Mrs Bonny Lou Sandvik, LPN 123 19th St Ne, Watertown, SD 57201-2823 Ph: (605) 886-0123 |
Jennifer Wickherst, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 | |
Kristine Reichert, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 123 19th St Ne, Watertown, SD 57201 Phone: 605-886-0123 Fax: 605-886-5447 |