Marietta L. Little Thunder, RN
Registered Nurse in Fort Yates, ND. Individual provider (NPI-1).
NPI number1760636765
StatusActive
Last updated in NPPESNov 5, 2008
Details
- NPI
- 1760636765
- Entity type
- Individual (NPI-1)
- Name
- Marietta L. Little Thunder
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2008
- Last updated
- Nov 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R022653 | SD | Yes |
Practice location
N10 North River RoadFort Yates, ND 58538-0527
Phone 701-854-8215 · Fax 701-854-3685
Mailing address
Po Box JFort Yates, ND 58538-0527
Phone 701-854-8215 · Fax 701-854-3685
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All 14 Registered Nurse providers in Fort Yates · All 78 providers in Fort Yates
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