Healthcare Provider Details

I. General information

NPI: 1649094848
Provider Name (Legal Business Name): KAREN SUE MALOUGHNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 W FRONT ST
BUTTE MT
59701-2801
US

IV. Provider business mailing address

25 W FRONT ST
BUTTE MT
59701-2801
US

V. Phone/Fax

Practice location:
  • Phone: 406-497-5041
  • Fax: 406-497-5095
Mailing address:
  • Phone: 406-497-5041
  • Fax: 406-497-5095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberNUR-RN-LIC-27724
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: