Healthcare Provider Details

I. General information

NPI: 1881934628
Provider Name (Legal Business Name): EDITH L SAVAGE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2013
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3318 3RD AVE N
BILLINGS MT
59101-1900
US

IV. Provider business mailing address

2753 N 14TH RD
WORDEN MT
59088-2118
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3149
  • Fax:
Mailing address:
  • Phone: 406-967-2617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberNUR-RN-LIC-10661
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: