Individual
MS. ROBIN MARIE CHARLTON-FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
62401 FOOTHILL RD, SAINT IGNATIUS, MT 59865-9113
(406) 214-4242
Mailing address
62401 FOOTHILL RD, SAINT IGNATIUS, MT 59865-9113
(406) 214-4242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN8777
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN8777
LPN LICENSE
MT
Enumeration date
05/23/2012
Last updated
05/23/2012
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