Individual
SHAMYNE HOVER DUMOUCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
106 RIDGEWATER DR STE A, POLSON, MT 59860-8977
(406) 752-7441
(406) 257-0304
Mailing address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21349
CA
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-174670
MT
Other
Enumeration date
10/21/2011
Last updated
08/27/2021
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