Individual
ANITA RAE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 CHEYENNE AVENUE, LAME DEER, MT 59043
(406) 477-4400
(406) 477-8204
Mailing address
PO BOX 203, BUSBY, MT 59016-0203
(406) 477-4400
(406) 477-8204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN25765
MT
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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