Healthcare Provider Details

I. General information

NPI: 1982205225
Provider Name (Legal Business Name): DENITA M HARDING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MAIN ST
MILES CITY MT
59301-3119
US

IV. Provider business mailing address

601 MAIN ST
MILES CITY MT
59301-3119
US

V. Phone/Fax

Practice location:
  • Phone: 406-874-8700
  • Fax:
Mailing address:
  • Phone: 406-874-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number39511
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-192050
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number39511
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: