Provider Demographics
NPI:1427931427
Name:CONROY, TERESA BETH (RN)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:BETH
Last Name:CONROY
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:PO BOX 556
Mailing Address - Street 2:
Mailing Address - City:CIRCLE
Mailing Address - State:MT
Mailing Address - Zip Code:59215-0556
Mailing Address - Country:US
Mailing Address - Phone:406-740-1820
Mailing Address - Fax:
Practice Address - Street 1:806 11TH ST
Practice Address - Street 2:
Practice Address - City:CIRCLE
Practice Address - State:MT
Practice Address - Zip Code:59215-7571
Practice Address - Country:US
Practice Address - Phone:406-485-3233
Practice Address - Fax:406-485-3243
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21265163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator