Provider Demographics
NPI:1881934628
Name:SAVAGE, EDITH L (RN)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:L
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2753 N 14TH RD
Mailing Address - Street 2:
Mailing Address - City:WORDEN
Mailing Address - State:MT
Mailing Address - Zip Code:59088-2118
Mailing Address - Country:US
Mailing Address - Phone:406-967-2617
Mailing Address - Fax:
Practice Address - Street 1:3318 3RD AVE N
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1900
Practice Address - Country:US
Practice Address - Phone:406-248-3149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-10661163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health