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NPI Code Detail

MEDICARE: SUNNY MARY WHITEMAN-GRANT

MEDICARE: SUNNY MARY WHITEMAN-GRANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse104320MT
2367A00000XAdvanced Practice MidwifeMT

General Provider Information

NPI Number : 1760914287
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNNY MARY WHITEMAN-GRANT
Provider Business Mailing Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-4486
Fax Number :
Provider Business Practice Location Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-4486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 02/03/2026

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Directions to “ SUNNY MARY WHITEMAN-GRANT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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