| NPI | 1891545547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA SHARISE CLOSTIO Owner 406-871-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |