Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | MED-APRN-LIC-176716 | MT |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | MED-APRN-LIC-176716 | MT |
NPI | 1558939561 |
---|---|
Provider Name | Erika Shaurie Dell |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101-0703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2021 |
Last Update Date | 14/12/2021 |