Individual
STACEY MARIE BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
126 6TH AVE SW, RONAN, MT 59864-2600
(406) 676-3600
(406) 676-3738
Mailing address
42543 PARK CIRCLE DR, POLSON, MT 59860-7533
(406) 360-4263
(406) 883-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214369
MT
363LF0000X
Family Nurse Practitioner
75899
ID
Other
Enumeration date
04/07/2023
Last updated
11/27/2023
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