Individual provider · Type 1 NPI
Stephene Aizcorbe Hertwig, RN, MSN, ACNPC-AG
Critical Care Medicine Nurse Practitioner · Kalispell, MT
NPI number
1306379607
Active
Practice location
350 Heritage Way Ste 2100
Kalispell, MT 59901-3167
Fax (406) 257-8996
Mailing address
180 Meadow Vista Loop Unit D
Kalispell, MT 59901-2936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024174096 (VA) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | NUR-APRN-LIC-184834 (MT) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | 0024174096 (VA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1306379607
Stephene Aizcorbe Hertwig, RN, MSN, ACNPC-AG's National Provider Identifier is 1306379607, issued on Apr 4, 2017. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Kalispell, MT. The record was last updated on Feb 19, 2024.