Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterside Healthcare & Wellness, LLC

Organization Family Nurse Practitioner · NPI 1780223743

Waterside Healthcare & Wellness, LLC is a Family Nurse Practitioner in Waconia, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 W Lake St
Waconia, MN 55387-1014
Phone: (920) 217-9035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1780223743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Siddons — Owner Of Entity · (920) 217-9035
NPI enumeratedDecember 22, 2019
Last updated in NPPESDecember 22, 2019
Certification dateDecember 22, 2019
Mailing address212 W Lake St, Waconia, MN 55387-1014

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