| NPI | 1740807502 |
|---|---|
| Doing Business As | LAVERDURE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE DURWARD Owner/Provider 406-945-9019 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2023-11-09 |