| NPI | 1609208735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LYNN BRENNAN Nurse Practitioner 406-370-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 38733) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |