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Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Family Health

Provider NPI: 1235563669

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
5549 OLD HIGHWAY 93  FLORENCE, MT 59833-6845 US
Tel: 406-279-4923  Fax: 406-329-4174

Business Mailing Address:
PO BOX 12  LIBERTY LAKE, WA 99019-0012 US
Tel: 406-327-1918  Fax: 406-329-2937

NPI Information:
NPI: 1235563669
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N364SF0001XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Family Health
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 363LF0000X





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