NPI | 1528785342 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LAURA SHIPLEY Nurse Practitioner 406-318-6306 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2022-10-24 |
Last Update Date | 2024-05-12 |