Nurse Practitioner, Psych/Mental Health
CARRIE DYLLA PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1245274240 · enumerated 2006-06-16 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 1030, WATERTOWN, SD, 57201 (605) 886-0123 Fax (605) 886-5447 Google Maps Apple Maps OpenStreetMap
- Practice location 123 19TH STREET NE, WATERTOWN, SD, 57201 (605) 886-8482 Fax (605) 884-4300 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 0485 SD
- Nurse Practitioner, Psych/Mental Health 363LP0808X · Primary · License 1052055 SD
In this directory
SD Codington County Watertown Nurse Practitioner, Psych/Mental Health
Locations and evidence
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Practice location
WATERTOWN, SD, 57201
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.