Individual
ROBERTA J SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Mailing address
215 3RD ST SW, BOX 1076, HARLEM, MT 59526
(406) 353-2590
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN 14698
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 14698
LICENSE
MT
Enumeration date
05/23/2007
Last updated
07/08/2007
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