Search › South Dakota › 163W00000X
Connie Jo Walters, LPN
NPI 1881134112 · on the registry since 2017 · sole proprietor
Practice
- Address
- 24276 166th Street Airport Rd
Eagle Butte, SD 57625 - Phone
- (605) 964-7724
- Organisation at this address
- Cheyenne River Sioux Tribe Diabetes Clinic
Cheyenne River Sioux Tribe Behavorial HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota