Individual
MARY VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1404 WESTWOOD DR, HAMILTON, MT 59840-2315
(406) 532-8990
Mailing address
215 S 7TH ST, HAMILTON, MT 59840-2667
(406) 880-2551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
72629
MT
163WL0100X
Lactation Consultant (Registered Nurse)
72629
MT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
72629
MT
163WW0101X
Ambulatory Women's Health Care Registered Nurse
72629
MT
Other
Enumeration date
04/16/2014
Last updated
06/03/2014
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