Doctor Name: | MARION GEAN UTE |
NPI Number: | 1619136991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 12668 |
Business Practice Address: | 29 Blackcoal Dr Fort Washakie, WY - 82514 |
Business Phone Number: | 3073327300 |
Business Fax Number: | 3073323949 |
Mailing Address: | Po Box 128, FORT WASHAKIE |
State: | WY |
Postal Code: | 82514 |
Phone Number: | 3073327300 |
Fax Number: | 3073323949 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 06/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 12668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |