Marina Faith Mitchell, RN
Individual provider Active NPI Registered Nurse · Lame Deer, MT
NPI 1124375712 · NPPES record last updated Aug 14, 2012
Key facts
- NPI
- 1124375712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN28519 (MT)
- Practice address
- 100 Cheyenne Ave
Lame Deer, MT 59043 - Phone
- (406) 477-4400
- Fax
- (406) 477-3038
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN28519 | MT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN28519 | MT | Yes |
Addresses
Primary practice location
100 Cheyenne Ave
Lame Deer, MT 59043
Mailing address
Box 67, 100 Cheyenne Ave
Lame Deer, MT 59043
Phone (406) 477-4400
Other providers in Lame Deer, MT
- Christie Lynn McKamey
- Kayla Sue McKinney
- Amber Rose Means
- Angela Miller
- Philip Minnick
- Abdalla Mohamed
- Patricia Louise Naillon
- Eric J Nickisch
- Kristen Niederklein
- Northern Cheyenne Board of Health
All providers in Lame Deer, MT · 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 Aug 14, 2012. 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.