Provider Demographics
NPI:1063725323
Name:TURNSPLENTY, NICOLE D
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:D
Last Name:TURNSPLENTY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:D
Other - Last Name:MERCHANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:10 WEST 4TH STREET HARDIN
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARDIN
Mailing Address - State:MT
Mailing Address - Zip Code:59034
Mailing Address - Country:US
Mailing Address - Phone:406-665-4103
Mailing Address - Fax:
Practice Address - Street 1:10 4TH ST W
Practice Address - Street 2:SUITE B
Practice Address - City:HARDIN
Practice Address - State:MT
Practice Address - Zip Code:59034-1802
Practice Address - Country:US
Practice Address - Phone:406-665-4103
Practice Address - Fax:406-867-4103
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPRN28025363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily