Individual
TERESA D SMITH-KEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
(406) 466-5842
Mailing address
915 4TH ST NW, CHOTEAU, MT 59422-9123
(406) 466-5763
(406) 466-5842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14907
MT
363LF0000X
Family Nurse Practitioner
22046.0304
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121007600
—
WY
01
—
313564
INDIVIDUAL BLUE CROSS NUM
WY
05
—
456807
—
MT
Enumeration date
07/25/2006
Last updated
12/28/2017
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