Individual
NIAMH LINEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3905 WELLNESS WAY, BOZEMAN, MT 59718-2402
(406) 587-9202
(406) 587-9748
Mailing address
3905 WELLNESS WAY, BOZEMAN, MT 59718-2402
(406) 587-9202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017922
NY
363A00000X
Physician Assistant
74905
MT
363A00000X
Physician Assistant
Primary
—
MT
Other
Enumeration date
10/03/2014
Last updated
03/22/2023
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