| NPI | 1477903722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA COTTON HANSEN Owner 406-866-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100564) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |