Organization
PSYCHIATRIC CONSULTANTS OF MONTANA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE MARIE BERTRAM APRN (OWNER)
(406) 491-0288
Entity
Organization
Contact information
Practice address
100 E BROADWAY ST, 412, BUTTE, MT 59701-9351
(406) 491-0288
(406) 299-3339
Mailing address
100 E BROADWAY ST, 412, BUTTE, MT 59701-9351
(406) 491-0288
(406) 299-3339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NURRNLIC67645
MT
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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