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Individual

MS. TOMMIE LYNN PERUSICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
2210 SILVER BOW BLVD, BUTTE, MT 59701-4940
(406) 491-9282
Mailing address
2210 SILVER BOW BLVD, BUTTE, MT 59701-4940
(406) 491-9282

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
155842
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0290819
MT
Enumeration date
12/26/2019
Last updated
10/22/2025
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