Doctor Name: | GINA MARIE LITTLEWOLF-MILLEGAN |
NPI Number: | 1750596847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN19828 |
Business Practice Address: | 100 Cheyenne Lame Deer, MT - 59043 |
Business Phone Number: | 4064774474 |
Business Fax Number: | |
Mailing Address: | P.o. Box 2103, LAME DEER |
State: | MT |
Postal Code: | 593232103 |
Phone Number: | 4064774474 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN19828 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |