Individual
RUSTIN BENDALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
550 6TH AVE N, WOLF POINT, MT 59201-6000
(406) 653-1641
(406) 653-3728
Mailing address
PO BOX 729, WOLF POINT, MT 59201-0729
(406) 653-1641
(406) 653-3728
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1-148876
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-148876
ALABAMA BOARD OF NURSING
AL
Enumeration date
09/19/2018
Last updated
09/19/2018
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