Organization · Type 2 NPI
Four Corners Health Care Inc
Pediatric Nurse Practitioner · Bozeman, MT
NPI number
1245312644
Active
Practice location
7720 Shedhorn Dr Ste D
Bozeman, MT 59718
Fax (406) 556-8304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN20521 (MT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN20521 (MT) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
Other pediatric nurse practitioner providers in Bozeman
About NPI 1245312644
Four Corners Health Care Inc's National Provider Identifier is 1245312644, issued on Oct 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bozeman, MT. The record was last updated on Sep 11, 2025.