Individual
TAMARA K. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
416
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000298308
BCBS PIN
MT
01
—
0280636
MDCD PIN
MT
Enumeration date
10/23/2006
Last updated
12/16/2014
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