Individual
TERRI MACNICHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
820 N WALLACE AVE, SUITE A, BOZEMAN, MT 59715-3024
(253) 278-5740
Mailing address
820 N WALLACE AVE, SUITE A, BOZEMAN, MT 59715-3024
(253) 278-5740
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN46899
MT
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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