Individual provider · Type 1 NPI

Mary C. De Souza, MSP ANP

Adult Health Nurse Practitioner · Kalispell, MT

NPI number 1700972742 Active

Practice location

343 Sunnyview Ln
Kalispell, MT 59901-3156

Fax (406) 756-3529

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN26302 (MT)
Adult Health Clinical Nurse Specialist 364SA2200X26302 (MT)
Adult Health Nurse Practitioner Primary 363LA2200X101363 (MT)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1700972742

Mary C. De Souza, MSP ANP's National Provider Identifier is 1700972742, issued on Oct 5, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Kalispell, MT. The record was last updated on Nov 27, 2023.