Organization · Type 2 NPI
Providence Health & Services MT
Nurse Practitioner · Missoula, MT
Practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1174074827
Providence Health & Services MT's National Provider Identifier is 1174074827, issued on Oct 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Missoula, MT. The record was last updated on May 5, 2025.