LAVERDURE PSYCHIATRY PLLC NPI 1740807502

NPI Information

LAVERDURE PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Havre, MT. LAVERDURE PSYCHIATRY PLLC NPI is 1740807502. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Laverdure Psychiatry.

The provider's business location address is:

311 3RD ST
HAVRE, MT
ZIP 59501-515
Phone: (406) 945-9019
Fax: (406) 945-9021

The provider's authorized official is Jennifer Anne Durward .
The authorized official title is Owner/provider and has the following contact phone number (406) 945-9019.

The CLIA number assigned to this NPI record is 27D2264294 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2020 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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