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NPI Code Detail

MEDICARE: MRS. BARBARA CATHERINE LUNDEMO NURSE PRACTIONER

MEDICARE:  MRS. BARBARA CATHERINE LUNDEMO  NURSE PRACTIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN 28148MT
2363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-100497MT

General Provider Information

NPI Number : 1396722963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA CATHERINE LUNDEMO NURSE PRACTIONER
Provider Business Mailing Address
First Line : 12914 COUNTY ROAD 350R
Second Line :
City : SIDNEY
State : MT
Zip : 59270-9722
Country : US
Telephone Number : 406-798-3568
Fax Number :
Provider Business Practice Location Address
First Line : 214 14TH AVE SW
Second Line :
City : SIDNEY
State : MT
Zip : 59270-3521
Country : US
Telephone Number : 406-488-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 12/10/2020

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Directions to “ MRS. BARBARA CATHERINE LUNDEMO NURSE PRACTIONER” Practice Location

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