Tomina Kinzie, RN

Individual provider Active NPI Community Health Registered Nurse · Wolf Point, MT

NPI 1669643243 · NPPES record last updated Mar 21, 2008

Key facts

NPI
1669643243
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN23754 (MT)
Practice address
550 6TH Avenue North
Wolf Point, MT 59201
Phone
(406) 653-1641
Fax
(406) 653-3728
NPI assigned
Mar 21, 2008
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
RN23754MTMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN23754 MT Yes

Addresses

Primary practice location

550 6TH Avenue North
Wolf Point, MT 59201

Mailing address

550 6TH Avenue North
Wolf Point, MT 59201
Phone (406) 653-1641

Other identifiers

IdentifierTypeStateIssuer
2210068MedicaidMT
RN23754OtherMTSTATE OF MONTANA

Other providers in Wolf Point, MT

All providers in Wolf Point, MT · Community Health Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.