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NPI Code Detail

MEDICARE: ANGELIQUE LITTLE LIGHT

MEDICARE: ANGELIQUE LITTLE LIGHT
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
1163WF0300XFlight Registered Nurse36463MT

General Provider Information

NPI Number : 1619253879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE LITTLE LIGHT
Provider Business Mailing Address
First Line : 1233 N 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0145
Country : US
Telephone Number : 406-237-7076
Fax Number :
Provider Business Practice Location Address
First Line : 1233 N 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0145
Country : US
Telephone Number : 406-237-7076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 11/01/2011

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Directions to “ ANGELIQUE LITTLE LIGHT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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