Doctor Name: | KATHY STANTON |
NPI Number: | 1457792293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN |
License Number: | 753221 |
Business Practice Address: | 10110 South 7650 East Crow Agency, MT - 59022 |
Business Phone Number: | 4066383556 |
Business Fax Number: | |
Mailing Address: | P.o. Box 9, 10110 South 7650 East CROW AGENCY |
State: | MT |
Postal Code: | 59022 |
Phone Number: | 4066383556 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2013 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 753221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |