Individual
MAGGI BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 N COOPER AVE, RED LODGE, MT 59068-9140
(406) 426-0253
(406) 446-0198
Mailing address
PO BOX 1432, RED LODGE, MT 59068-1432
(406) 426-0253
(406) 446-0198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-22622
MT
163WH0200X
Home Health Registered Nurse
Primary
NUR-RN-LIC-22622
MT
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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