Individual
CHEYENNE CHINADLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15230 ROAD 125 N, HINGHAM, MT 59528-8611
(406) 231-5758
Mailing address
15230 ROAD 125 N, HINGHAM, MT 59528-8611
(406) 231-5758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-159771
MT
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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