Individual
TINA JOY SHUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10110 S ROUTE 765 E, CROW AGENCY, MT 59022
(406) 638-3424
Mailing address
10110 S ROUTE 765 E, CROW AGENCY, MT 59022
(406) 638-3424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.348340
IL
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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