Spradley, Tara L

Spradley, Tara L is an individual health care provider with primary practice located at 107 H St , Poplar MT 59255. She recently has only one registered license in Nursing Service Providers / Nephrology, which is considered as her primary health care specialty. Spradley, Tara L can be contacted via phone (406) 768-3491.

Contact Information

Primary practice address
107 H St Poplar MT 59255
Phone: (406) 768-3491
Fax: (406) 768-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nephrology 163WN0300X N26110 Idaho

Profile Details

NPI number 1386804664
LBN Legal business name Spradley, Tara L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Jan 15th, 2013 - about 13 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 1386804664 NPPES
Montana MEDICAID 2210078
Montana Other N-26110

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