NPI 1568810315 DELANE TIDZUMP FORT WASHAKIE WY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Delane Tidzump - NPI: 1568810315

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DELANE TIDZUMP
NPI Number: 1568810315
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number:
Business Practice Address: #7 Shipton Lane
Fort Washakie, WY - 825140538
Business Phone Number: 3073351169
Business Fax Number: 3073351170
Mailing Address: Po Box 538,
FORT WASHAKIE
State: WY
Postal Code: 825140538
Phone Number: 3073351169
Fax Number: 3073351170
NPI Enumeration Date: 06/01/2016
NPI Last Update Date: 06/01/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 175T00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type:
Taxonomy Classification:
Taxonomy Specialization:
Taxonomy Definition:


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