Organization · Type 2 NPI
Mountain Mobile Wound Care
Family Nurse Practitioner · Missoula, MT
NPI number
1114050481
Active
Practice location
1801 Selway Dr
Missoula, MT 59808-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | None listed |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1114050481
Mountain Mobile Wound Care's National Provider Identifier is 1114050481, issued on Mar 14, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Missoula, MT. The record was last updated on Sep 2, 2025.