Healthcare Provider Details

I. General information

NPI: 1013843051
Provider Name (Legal Business Name): TAYLOR LOUISE ST. JOHN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S CLARK ST
BUTTE MT
59701-2328
US

IV. Provider business mailing address

620 W GOLD ST
BUTTE MT
59701-2363
US

V. Phone/Fax

Practice location:
  • Phone: 406-723-2500
  • Fax:
Mailing address:
  • Phone: 406-579-7162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNUR-RN-LIC-131023
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: