| NPI | 1740163799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNALIE GUTHMILLER Authorized Official / Owner 406-781-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |