Healthcare Provider Details

I. General information

NPI: 1649987330
Provider Name (Legal Business Name): KRISTI TOENNIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 N 17TH AVE
FORSYTH MT
59327-7971
US

IV. Provider business mailing address

714 SCHMALSLE ST
MILES CITY MT
59301-1822
US

V. Phone/Fax

Practice location:
  • Phone: 406-346-2161
  • Fax:
Mailing address:
  • Phone: 406-951-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number198879
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: