Individual
MRS. JUDITH A LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
210 RIVERSIDE DRIVE, POPLAR, MT 59255
(406) 768-5171
(406) 768-6161
Mailing address
210 RIVERSIDE DRIVE, PO BOX 629, POPLAR, MT 59255
(406) 768-5171
(406) 768-6161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN09057
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433238
—
MT
05
—
6827120
—
SD
Enumeration date
08/17/2006
Last updated
02/08/2008
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