Basic Information
| Provider Information | |||||||||
| NPI: | 1487126249 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMPSEY | ||||||||
| FirstName: | MARIAH | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3939 S 3RD ST W | ||||||||
| Address2: | |||||||||
| City: | MISSOULA | ||||||||
| State: | MT | ||||||||
| PostalCode: | 598041016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062743020 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 71972 BITTERROOT JIM RD | ||||||||
| Address2: | |||||||||
| City: | ARLEE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4067453525 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2018 | ||||||||
| LastUpdateDate: | 12/18/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 38812 | MT | Y | Nursing Service Providers | Registered Nurse |
No ID Information.