Individual
MARY E. KOFSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
1233 N 30TH ST, BILLINGS, MT 59101-0127
(406) 237-4122
(406) 237-4195
Mailing address
1233 N 30TH ST, BILLINGS, MT 59101-0127
(406) 237-4122
(406) 237-4195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27090
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4062374122
PHONE NUMBER
MT
Enumeration date
06/13/2008
Last updated
06/13/2008
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