Organization Name: | POWELL COUNTY FAMILY PLANNNING |
NPI Number: | 1700906476 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE J PAUL (DIRECTOR) |
Mailing Address: | 305 Milwaukee Deer Lodge |
State: | MT US |
Postal Code: | 597221069 |
Phone Number: | 4068462420 |
Fax Number: | 4068463436 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN11730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |