| Doctor Name: | SUSAN DEPASQUALE |
| NPI Number: | 1063827202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FPMHNP-BC |
| License Number: | NUR-RN-LIC-25607 |
| Business Practice Address: | 730 Hauser Blvd Helena, MT - 596012627 |
| Business Phone Number: | 4064436108 |
| Business Fax Number: | |
| Mailing Address: | 730 Hauser Blvd, HELENA |
| State: | MT |
| Postal Code: | 59601 |
| Phone Number: | 4258765765 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | NUR-RN-LIC-25607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |