Healthcare Provider Details

I. General information

NPI: 1427253038
Provider Name (Legal Business Name): LINDA WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLACKFEET COMMUNITY HOSPITAL 760 HOSPITAL CIRCLE
BROWNING MT
59417-0760
US

IV. Provider business mailing address

570 IOWA LOOP
CONRAD MT
59425-8844
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6369
  • Fax:
Mailing address:
  • Phone: 406-278-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number19180
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: