MARY C DE SOUZA

KALISPELL, MT
NPI1700972742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MT  101363)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: MT  RN26302)
364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: MT  26302)
Enumeration Date2006-10-05
Last Update Date2023-11-27
Business Address
MARY C DE SOUZA MSP ANP
343 SUNNYVIEW LN
KALISPELL, MT 59901-3156
Phone number: 406-752-1790
Mailing Address
MARY C DE SOUZA MSP ANP
343 SUNNYVIEW LN
KALISPELL, MT 59901-3156
Phone number: 406-752-1790