Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 100445 | MT |
NPI | 1023422763 |
---|---|
Provider Name | Melinda M Truesdell |
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 | 19/06/2014 |
Last Update Date | 24/02/2016 |