NPI | 1578891289 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREL A ANDRECHAK Family Nurse Practitioner 406-622-5955 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 20513RN) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 20513RN) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |