Whalio Doctors

NPI 1629083506

Susan E Bodurtha, RNCNS

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist Kalispell, MT

Practice location

Address
410 Windward Way, Kalispell, MT 59901-2680
Phone
(406) 257-1336
Fax
(406) 257-1353
Mailing address
T-9 Fort Missoula, Missoula, MT 59804-7202

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence RN12218 (MT)

Registry record

NPI
1629083506
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jul 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.