Bethune, Diedra

Bethune, Diedra is an individual health care provider with primary practice located at 219 East Main St , Missoula MT 59802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bethune, Diedra can be contacted via phone (406) 728-5490.

Contact Information

Primary practice address
219 East Main St Missoula MT 59802
Phone: (406) 728-5490
Fax: (406) 728-5497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN11641 Montana

Profile Details

NPI number 1598837270
LBN Legal business name Bethune, Diedra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598837270 NPPES
Montana MEDICAID 433449
Montana Other 37116

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