Susan E Bodurtha in Missoula - Psychiatric/mental Health, Adult

Susan E Bodurtha - NPI 1629083506

Susan E Bodurtha is a Psychiatric/mental Health, Adult in Missoula, Montana. Susan E Bodurtha practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Susan E Bodurtha is 1629083506. The last update date is 2007-07-09.

Susan E Bodurtha's current location address is T-9 Fort Missoula, Missoula, Montana. You can contact this provider via phone number 4065328400. The mailing address for Susan E Bodurtha is T-9 Fort Missoula, Missoula, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan E Bodurtha
Address T-9 Fort Missoula, Missoula, Montana
Phone Number 4065328400
Fax Number
Sole Proprietor Y
Credentials RN, CNS

NPI Number Detail

NPI Number 1629083506
Provider Enumeration Date 2006-07-29
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address T-9 Fort Missoula
City Missoula
State Montana (MT)
Post Code 598047202
Phone Number 4065328400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No RN12218
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

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FAQs about Susan E Bodurtha

What is the unique 10-digit identifier code issued to Susan E Bodurtha by the Centers for Medicare & Medicaid Services?

The Susan E Bodurtha has been assigned the NPI (National Provider Identifier) 1629083506 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Susan E Bodurtha?

The Susan E Bodurtha is physically situated at T-9 Fort Missoula, in the city of Missoula, state of MT, with the postal code 598047202.

What is Susan E Bodurtha's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Susan E Bodurtha is Psychiatric/mental Health, Adult, and the taxonomy code that classifies this field of practice is 364Sp0809X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629083506 to Susan E Bodurtha?

The Centers for Medicare & Medicaid Services originally issued the 1629083506 to Susan E Bodurtha on 2006-07-29.

When was the information regarding Susan E Bodurtha, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan E Bodurtha, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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