| NPI | 1649302555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY A DOELY Director 406-751-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 12999) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT ML1386348) |
| 367A00000X Advanced Practice Midwife (Licence: MT 15471) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |