Individual
MRS. WENDY COURTNAGE TILLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
6850 UPPER OX ELDER ROAD, BOX ELDER, MT 59521-9797
(406) 395-4486
(406) 395-5850
Mailing address
6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521-9073
(406) 395-4486
(406) 395-5850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN25483
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-177081
MT
Other
Enumeration date
04/24/2008
Last updated
10/08/2021
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