Individual
JANIEL K DEROUCHEY-QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-5046
Mailing address
724 LAZY M, P.O.B. 2254, RED LODGE, MT 59068
(801) 529-0872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-118569
MT
Other
Enumeration date
10/24/2016
Last updated
12/21/2016
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