1699171009 NPI number — MS. ALLISON BLAIR TARANTO CNM, FNP

Table of content: MS. ALLISON BLAIR TARANTO CNM, FNP (NPI 1699171009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699171009 NPI number — MS. ALLISON BLAIR TARANTO CNM, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TARANTO
Provider First Name:
ALLISON
Provider Middle Name:
BLAIR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNM, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TARANTO
Provider Other First Name:
ALLISON
Provider Other Middle Name:
BLAIR
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNM, FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1699171009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 KNAPP ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOLF POINT
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59201-1826
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 KNAPP ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOLF POINT
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59201-1826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-653-2150
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/12/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  NUR-RN-LIC-72124 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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