Provider Demographics
NPI:1407348113
Name:ARTZ, AFTON (PMHNP)
Entity Type:Individual
Prefix:
First Name:AFTON
Middle Name:
Last Name:ARTZ
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:AFTON
Other - Middle Name:
Other - Last Name:KEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2000 S SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2727
Mailing Address - Country:US
Mailing Address - Phone:605-336-0503
Mailing Address - Fax:605-271-2490
Practice Address - Street 1:2000 S SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2727
Practice Address - Country:US
Practice Address - Phone:605-336-0503
Practice Address - Fax:605-271-2490
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR044173163W00000X
MN2479006163W00000X
SDCP001595363LP0808X
MN7162363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse