Individual
CHANEL HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 S HAYNES AVE, MILES CITY, MT 59301-4769
(406) 233-7000
Mailing address
620 S HAYNES AVE, MILES CITY, MT 59301-4769
(406) 233-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-237002
MT
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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