Healthcare Provider Details

I. General information

NPI: 1457175069
Provider Name (Legal Business Name): LONI R CONLEY RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 DOROTHY ST
COLUMBIA FALLS MT
59912-3135
US

IV. Provider business mailing address

PO BOX 145
COLUMBIA FALLS MT
59912-0145
US

V. Phone/Fax

Practice location:
  • Phone: 406-471-1985
  • Fax:
Mailing address:
  • Phone: 406-471-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberNUR-RN-LIC-46287
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNUR-RN-LIC-46287
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: