Healthcare Provider Details

I. General information

NPI: 1962842344
Provider Name (Legal Business Name): DENYS L HANTO RN-44503
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 07/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 H STREET EAST
POPLAR MT
59255-0067
US

IV. Provider business mailing address

107 H STREET EAST
POPLAR MT
59255-0067
US

V. Phone/Fax

Practice location:
  • Phone: 406-768-2112
  • Fax: 406-768-5109
Mailing address:
  • Phone: 406-768-2112
  • Fax: 406-768-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: