Doctor Name: | LORETTA JOYCE STUMP |
NPI Number: | 1124233275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 13340 |
Business Practice Address: | Rr 1 Box 67 Harlem, MT - 595269705 |
Business Phone Number: | 4066733849 |
Business Fax Number: | 4066733214 |
Mailing Address: | Po Box 1288, HARLEM |
State: | MT |
Postal Code: | 595261288 |
Phone Number: | 4066733849 |
Fax Number: | 4066733214 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 13340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |