Lorrie Keller, RN

Individual provider Active NPI Medical-Surgical Registered Nurse · Box Elder, MT

NPI 1982979514 · NPPES record last updated Mar 15, 2012

Key facts

NPI
1982979514
Entity type
Individual (NPI type 1)
Primary specialty
Medical-Surgical Registered Nurse 163WM0705X
License
32555 (MT)
Practice address
RR 1 Box 664
Box Elder, MT 59521-9797
Phone
(406) 395-4486
NPI assigned
Mar 15, 2012
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
32555MTMDMedical-Surgical Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 32555 MT Yes

Addresses

Primary practice location

RR 1 Box 664
Box Elder, MT 59521-9797

Mailing address

RR 1 Box 664
Box Elder, MT 59521-9797
Phone (406) 395-4486

Other providers in Box Elder, MT

All providers in Box Elder, MT · Medical-Surgical Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.