| NPI | 1245312644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE SILLS MITCHELL President Health Care Provider 406-556-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT RN20521) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MT RN20521) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |