Provider Demographics
NPI:1992718217
Name:THE FOOT AND NAIL CARE RN LLC
Entity type:Organization
Organization Name:THE FOOT AND NAIL CARE RN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED FOOT AND NAIL CARE NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISSY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:WEIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:406-261-7532
Mailing Address - Street 1:2045 LION MT LOOP RD
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937
Mailing Address - Country:US
Mailing Address - Phone:406-261-7532
Mailing Address - Fax:406-863-2636
Practice Address - Street 1:2045 LION MT LOOP RD
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937
Practice Address - Country:US
Practice Address - Phone:406-261-7532
Practice Address - Fax:406-863-2636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN23895163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty