Doctor Name: | LINDA LEE DUSTERHOFF |
NPI Number: | 1184730087 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-BC FNP |
License Number: | RN16779 |
Business Practice Address: | 760 Peigan Street Browning, MT - 51417 |
Business Phone Number: | 4063386201 |
Business Fax Number: | |
Mailing Address: | Po Box 145, EAST GLACIER PARK |
State: | MT |
Postal Code: | 594340145 |
Phone Number: | 4062265546 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN16779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |