Individual
CHEYENNE TALLBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
100 CHEYENNE AVENUE, LAME DEER, MT 59043
(406) 477-4474
Mailing address
100 CHEYENNE AVENUE, LAME DEER, MT 59043
(406) 477-4474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN30556
MT
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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