Doctor Name: | NICOLE DIANE PFEIFER |
NPI Number: | 1346589462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NUR-RN-LIC-32901 |
Business Practice Address: | 6 13th Ave E Polson, MT - 598605315 |
Business Phone Number: | 4068838250 |
Business Fax Number: | |
Mailing Address: | 6 13th Ave E, POLSON |
State: | MT |
Postal Code: | 598605315 |
Phone Number: | 4068838250 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NUR-RN-LIC-32901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |