Healthcare Provider Details

I. General information

NPI: 1578757845
Provider Name (Legal Business Name): LINDA LOIS DARELIUS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 SADDLE DR
HELENA MT
59601-5754
US

IV. Provider business mailing address

3385 BALDY DR
HELENA MT
59602-9568
US

V. Phone/Fax

Practice location:
  • Phone: 406-449-4900
  • Fax:
Mailing address:
  • Phone: 406-227-5737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number34735
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: