Provider Demographics
NPI:1457175069
Name:CONLEY, LONI R (RN, BSN)
Entity type:Individual
Prefix:
First Name:LONI
Middle Name:R
Last Name:CONLEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-0145
Mailing Address - Country:US
Mailing Address - Phone:406-471-1985
Mailing Address - Fax:
Practice Address - Street 1:1100 DOROTHY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912-3135
Practice Address - Country:US
Practice Address - Phone:406-471-1985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-46287251J00000X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No251J00000XAgenciesNursing Care