Individual
TARA JO PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
760 HOSPITAL CIRCLE, BROWNING, MT 59417-0730
(406) 338-6369
Mailing address
760 HOSPITAL CIRCLE, BROWNING, MT 59417-0730
(406) 338-6369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
45014
MT
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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