Doctor Name: | LINDSAY OHARA |
NPI Number: | 1053795930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 68419 |
Business Practice Address: | 350 Heritage Way Ste 2300 Kalispell, MT - 599013167 |
Business Phone Number: | 4067528456 |
Business Fax Number: | 4067580626 |
Mailing Address: | 350 Heritage Way Ste 2300, KALISPELL |
State: | MT |
Postal Code: | 599013167 |
Phone Number: | 4067528456 |
Fax Number: | 4067580626 |
NPI Enumeration Date: | 07/10/2015 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 68419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |