Doctor Name: | JOAN M LATRAY |
NPI Number: | 1649486614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 20549 |
Business Practice Address: | Rr 1 Box 67 Harlem, MT - 595269705 |
Business Phone Number: | 4063533100 |
Business Fax Number: | 4063533229 |
Mailing Address: | 815 Missouri St, CHINOOK |
State: | MT |
Postal Code: | 59523 |
Phone Number: | 4063573734 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN 20549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |