Individual
MS. SHELLEY SMITH OTOUPALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
7473 GROOMS RD, MISSOULA, MT 59808-9798
(406) 240-7396
Mailing address
7473 GROOMS RD, MISSOULA, MT 59808-9798
(406) 240-7396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22481
MT
Other
Enumeration date
10/05/2006
Last updated
05/14/2015
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