Provider Demographics
NPI:1699171009
Name:TARANTO, ALLISON BLAIR (CNM, FNP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:BLAIR
Last Name:TARANTO
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:BLAIR
Other - Last Name:TARANTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, FNP
Mailing Address - Street 1:301 KNAPP ST
Mailing Address - Street 2:
Mailing Address - City:WOLF POINT
Mailing Address - State:MT
Mailing Address - Zip Code:59201-1826
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 KNAPP ST
Practice Address - Street 2:
Practice Address - City:WOLF POINT
Practice Address - State:MT
Practice Address - Zip Code:59201-1826
Practice Address - Country:US
Practice Address - Phone:406-653-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-72124367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife