Individual
SHAUNA BETH GILBERT-AZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
Mailing address
669 AGENCY MAIN ST, HARLEM, MT 59526-9455
(406) 353-3100
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
33862
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33862
LICENSE
MT
Enumeration date
09/06/2011
Last updated
09/06/2011
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