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SUSAN E BODURTHA, RN, CNS – NPI #1629083506
Psychiatric/Mental Health, Adult

NPI Profile for SUSAN E BODURTHA in KALISPELL, MT.

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Contact Information

SUSAN E BODURTHA, RN, CNS
410 WINDWARD WAY
KALISPELL, MT  59901-2680
 Phone: 406-257-1336
 Fax: 406-257-1353
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

 364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for SUSAN E BODURTHA · (Female)

NPI # 1629083506
Status Active
Credentials RN, CNS
Entity Individual
Enumeration date 07/29/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # RN12218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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