| NPI | 1548740822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WEAVER KNOWLES Owner/Fnp 406-544-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 131528) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2022-09-15 |