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Mariah Kellam, RN
Student in an Organized Health Care Education/Training Program in Chinook, Montana
NPI 1083230304

Mariah Kellam is a Student in an Organized Health Care Education/Training Program based in Chinook, MT. Mariah Kellam practices in Chinook, MT and has the professional credentials of RN. The NPI Number for Mariah Kellam is 1083230304 and holds a License No. NUR-APRN-LIC-216413 (Montana).

The current practice location address for Mariah Kellam is 419 Pennsylvania St, Chinook, MT and can be reached out via phone at 406-357-2294.

Location: 419 Pennsylvania St, Chinook, MT, 59523-9726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083230304
Provider Name
Mariah Kellam
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
419 Pennsylvania St, Chinook, MT, 59523-9726
Phone Number
406-357-2294
Fax Number
Provider Enumeration Date
06/23/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
419 Pennsylvania St
City
Chinook
State
Montana
Zip
59523-9726
Phone Number
406-357-2294
Fax Number
person
Provider Business Mailing Address Details
Address
419 Pennsylvania St
City
Chinook
State
Montana
Zip
59523-9726
Phone Number
406-357-2294
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
NUR-APRN-LIC-216413 (Montana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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