| Doctor Name: | HEIDI LYNN STANDS |
| NPI Number: | 1194984344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R031885 |
| Business Practice Address: | 1201 E Hwy 18 Pine Ridge Ihs Pine Ridge, SD - 57770 |
| Business Phone Number: | 6058675131 |
| Business Fax Number: | 6058673097 |
| Mailing Address: | 1201 E Hwy 18, Pine Ridge Ihs PINE RIDGE |
| State: | SD |
| Postal Code: | 57770 |
| Phone Number: | 6058675131 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | R031885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |