| Doctor Name: | MRS. REBECCA J CONROY |
| NPI Number: | 1174789499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | NP-875A |
| Business Practice Address: | 3800 Eastside Hwy Stevensville, MT - 598702224 |
| Business Phone Number: | 4067772775 |
| Business Fax Number: | 4067772796 |
| Mailing Address: | Po Box 16900, MISSOULA |
| State: | MT |
| Postal Code: | 598086900 |
| Phone Number: | 4063274620 |
| Fax Number: | 4065495928 |
| NPI Enumeration Date: | 08/06/2008 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-875A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |