Vonnda Jade Lei, RN

Individual provider Active NPI Registered Nurse · Lame Deer, MT

NPI 1659884641 · NPPES record last updated Nov 13, 2017

Key facts

NPI
1659884641
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
NUR-RN-LIC-127339 (MT)
Practice address
100 Cheyenne Ave
Lame Deer, MT 59043
Phone
(406) 477-4400
NPI assigned
Nov 13, 2017
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

LicenseStateTypeSpecialty
NUR-RN-LIC-127339MTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NUR-RN-LIC-127339 MT Yes

Addresses

Primary practice location

100 Cheyenne Ave
Lame Deer, MT 59043

Mailing address

PO Box 1258
Lame Deer, MT 59043-1258

Other names

  • Vonnda Jade Elkshoulder Former name

Other providers in Lame Deer, MT

All providers in Lame Deer, MT · Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.