Individual
EMERALD NOELLE BUZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3031 RUSSELL ST., MISSOULA, MT 59801-8523
(406) 728-5841
Mailing address
2700 RADIO WAY, MISSOULA, MT 59808-1385
(406) 541-6900
(406) 541-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NUR-APRN-LIC-176635
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-176635
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03211176
AANP FAMILY NURSE PRACTITIONER CERTIFICATION
—
01
—
NUR-APRN-LIC-176635
NURSE PRACTITIONER LICENSE NUMBER
MT
Enumeration date
07/13/2021
Last updated
03/22/2023
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