Individual
MRS. MARIA WINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1114 W MAIN, SOUTH VALLEY PEDIATRICS, HAMILTON, MT 59840
(406) 363-5013
(406) 363-3714
Mailing address
1114 W MAIN, SOUTH VALLEY PEDIATRICS, HAMILTON, MT 59840
(406) 363-5013
(406) 363-3714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN25738
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373490
BCBS
—
05
—
4306168
—
MT
01
—
RN 25738
NOT SPECIFIED
MT
Enumeration date
08/11/2005
Last updated
09/26/2007
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