Individual
TARA L SPRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 H ST, POPLAR, MT 59255
(406) 768-3491
(406) 768-3603
Mailing address
PO BOX 67, POPLAR, MT 59255-0067
(406) 768-3491
(406) 768-3603
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
Primary
N26110
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210078
—
MT
01
—
N-26110
BOARD OF NURSING
ID
Enumeration date
06/11/2008
Last updated
01/15/2013
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