| NPI | 1306488572 |
|---|---|
| Doing Business As | GLACIER MENTAL AND FAMILY HEALTH SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | SHANNON R DAVIS Owner 907-696-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2021-12-17 |