Individual
AMANDA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10110 S. 7650 E, CROW AGENCY, MT 59022-0009
(406) 638-3500
Mailing address
518 13TH ST W, HARDIN, MT 59034-2401
(406) 694-8307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC 45035
MT
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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