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Individual

CARISSA MARIE CARDIFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-FNP

Contact information

Practice address
1311 11TH ST W, BILLINGS, MT 59102-4205
(406) 530-5096
(406) 794-0745
Mailing address
1311 11TH ST W, BILLINGS, MT 59102-4205
(406) 530-5096
(406) 794-0745

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-190701
MT
207Q00000X
Family Medicine Physician
Primary
NUR-APRN-LIC-212012
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61440003
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
01/06/2023
Last updated
08/15/2024
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