Individual provider · Type 1 NPI
Suzanne C. Gullotta, APRN
Family Nurse Practitioner · Somers, MT
NPI number
1962401372
Active · reactivated Aug 15, 2006
Practice location
77 Deer Creek Rd
Somers, MT 59932
Fax (406) 857-2996
Mailing address
PO Box 649
Lakeside, MT 59922-0649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 020838 (MT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1962401372
Suzanne C. Gullotta, APRN's National Provider Identifier is 1962401372, issued on Jul 18, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Somers, MT. The record was last updated on Jul 9, 2007.