Provider Demographics
NPI:1124434998
Name:WHITFORD, LONI MARIE (EMT ADVANCED)
Entity type:Individual
Prefix:
First Name:LONI
Middle Name:MARIE
Last Name:WHITFORD
Suffix:
Gender:F
Credentials:EMT ADVANCED
Other - Prefix:
Other - First Name:LONI
Other - Middle Name:MARIE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EMT ADVANCED
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:MT
Mailing Address - Zip Code:59521-0179
Mailing Address - Country:US
Mailing Address - Phone:406-399-3399
Mailing Address - Fax:
Practice Address - Street 1:535 CLINIC RD E
Practice Address - Street 2:
Practice Address - City:BOX ELDER
Practice Address - State:MT
Practice Address - Zip Code:59521-8826
Practice Address - Country:US
Practice Address - Phone:406-395-4902
Practice Address - Fax:406-395-5731
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT660146N00000X
MT6600146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic