| Doctor Name: | MS. THERESA MARIE VONADA |
| NPI Number: | 1730214495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 493 |
| Business Practice Address: | 1892 Williams St. Fort Harrison, MT - 59636 |
| Business Phone Number: | 4064426410 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6369, HELENA |
| State: | MT |
| Postal Code: | 596046369 |
| Phone Number: | 4064574180 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |