NPI Profile for DONNA M VANTASSEL in LEWISTOWN, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1538539390 |
|
| Status | Active | |
| Credentials | RN, NP-C | |
| Entity | Individual | |
| Enumeration date | 10/05/2015 | |
| Last updated | 12/12/2017 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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DONNA M VANTASSEL
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