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Waterside Healthcare & Wellness, LLC

Family Nurse Practitioner in Waconia, MN · enumerated 2019 · authorized official Nicole Siddons, Owner of Entity.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780223743

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Registry record

Entity type Organization (Type 2)
Legal business name Waterside Healthcare & Wellness, LLC
Practice address 212 W Lake St, Waconia, MN, 55387
Phone (920) 217-9035
Enumeration date Dec 22, 2019
Last updated in NPPES Dec 22, 2019

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Nicole Siddons
Title Owner of Entity
Phone (920) 217-9035

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-22. Verify at npiregistry.cms.hhs.gov.
Where is Waterside Healthcare & Wellness, LLC located?
The practice location on file with NPPES is in Waconia, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-22.