Individual provider · Type 1 NPI

Libby A. Costello Gard, FNP

Family Nurse Practitioner · Missoula, MT

NPI number 1326239195 Active

Practice location

1211 S Reserve St Ste 101
Missoula, MT 59801-3103

Fax (406) 327-3231

Mailing address

500 W Broadway St
Missoula, MT 59802-4008

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse 163WP2201X099007632RN (OR)
Family Nurse Practitioner 363LF0000X200850014NP (OR)
Family Nurse Practitioner Primary 363LF0000XNUR-APRN-LIC-126782 (MT)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1326239195

Libby A. Costello Gard, FNP's National Provider Identifier is 1326239195, issued on Aug 7, 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 May 10, 2021.