Individual
MS. ROSEMARY G YOUDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS FNP
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN9981
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000037218
BCBS
—
01
—
237169043013
EBONS
—
05
—
S85141
—
MT
Enumeration date
10/11/2005
Last updated
12/12/2017
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