Individual
MS. SUSAN LORI DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
316 N 3RD ST, HAMILTON, MT 59840-2480
(406) 531-0032
Mailing address
PO BOX 342, HAMILTON, MT 59840-0342
(406) 531-3583
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
126595
MT
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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