Healthcare Provider Details

I. General information

NPI: 1700924883
Provider Name (Legal Business Name): BARBARA J PLOUFFE RN CHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35866 ROUND BUTTE ROAD
RONAN MT
59864-2301
US

IV. Provider business mailing address

35866 ROUND BUTTE ROAD
RONAN MT
59864-2301
US

V. Phone/Fax

Practice location:
  • Phone: 406-676-0137
  • Fax: 406-676-0134
Mailing address:
  • Phone: 406-676-0137
  • Fax: 406-676-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN16125
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: