| Doctor Name: | MRS. IDA R REIGHARD |
| NPI Number: | 1164746434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | RN23816 |
| Business Practice Address: | 400 S Clark St Butte, MT - 597012328 |
| Business Phone Number: | 4067820461 |
| Business Fax Number: | 4067827435 |
| Mailing Address: | 400 S Clark Street, BUTTE |
| State: | MT |
| Postal Code: | 597011703 |
| Phone Number: | 4067232960 |
| Fax Number: | 4067232404 |
| NPI Enumeration Date: | 03/16/2010 |
| NPI Last Update Date: | 09/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN23816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |