Individual
MICHELLE WEAVER KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2825 FORT MISSOULA RD STE 113, MISSOULA, MT 59804-7403
(406) 544-3168
Mailing address
1001 E BROADWAY #2, PMB 217, MISSOULA, MT 59801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131528
MT
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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