Individual
MRS. LAURA WETHERELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2911 WILSON ST, MILES CITY, MT 59301-5722
(406) 234-2929
(406) 234-2928
Mailing address
PO BOX 4, FORSYTH, MT 59327-0004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
100277
MT
363LP2300X
Primary Care Nurse Practitioner
RN19128
MT
Other
Enumeration date
03/03/2006
Last updated
07/27/2020
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