Cruickshank, Sandra Dayle

Cruickshank, Sandra Dayle is an individual health care provider with primary practice located at 100 West Wicks Lane , Billings MT 59105-1539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cruickshank, Sandra Dayle can be contacted via phone (406) 294-8643.

Contact Information

Primary practice address
100 West Wicks Lane Billings MT 59105-1539
Phone: (406) 294-8643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NUR RN LIC 8033 Montana

Profile Details

NPI number 1114911864
LBN Legal business name Cruickshank, Sandra Dayle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 14th, 2015 - about 11 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 1114911864 NPPES
Montana MEDICAID 4300595

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