Individual
SHELLEY P RICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
383 N 17TH AVE, FORSYTH, MT 59327-7971
(406) 346-2161
Mailing address
438 SARPY CREEK RD, HYSHAM, MT 59038-9613
(406) 581-9119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-102257
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-102257
MT
Other
Enumeration date
03/14/2016
Last updated
06/14/2024
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