Individual
MRS. NICOLE C. DEARMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
309 ELLIOT STREET NORTH, WILSALL, MT 59086-0347
(406) 578-2222
(406) 578-2174
Mailing address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1883-023
WI
363AM0700X
Medical Physician Assistant
1883-023
WI
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-41544
MT
363AS0400X
Surgical Physician Assistant
1883-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245251230
—
MT
Enumeration date
07/22/2006
Last updated
11/15/2023
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