Healthcare Provider Details

I. General information

NPI: 1881556108
Provider Name (Legal Business Name): LASHAWNA RAYE BEARTUSK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHEYENNE AVE.
LAME DEER MT
59043
US

IV. Provider business mailing address

PO BOX 223
LAME DEER MT
59043-0223
US

V. Phone/Fax

Practice location:
  • Phone: 406-477-6722
  • Fax: 406-477-3038
Mailing address:
  • Phone: 406-477-6722
  • Fax: 406-477-3038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-77824
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: