Janet Nordrum
Individual provider Active NPI General Practice Registered Nurse · Box Elder, MT
NPI 1114405487 · NPPES record last updated Jul 30, 2018
Key facts
- NPI
- 1114405487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 12679 (MT)
- Practice address
- 6850 Upper Box Elder Rd
Box Elder, MT 59521-9073 - Phone
- (406) 395-1656
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12679 | MT | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse |
163WG0000X | 12679 | MT | Yes |
Addresses
Primary practice location
6850 Upper Box Elder Rd
Box Elder, MT 59521-9073
Mailing address
1325 Ike Ave
Havre, MT 59501-5137
Phone (406) 262-4537
Other providers in Box Elder, MT
- Karen Myers
- Lenore Myers
- Nat'S Medical Supply
- Darel Arvin Nelson
- Victor NG
- Janice Lea Nystrom
- Jamie Marie Oats-Swan
- Crissa Oliva
- Amber Marie Ophus
- Carol Jean Ortman
All providers in Box Elder, MT · General Practice Registered Nurse in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.