Individual
ALYSHIA GRACE VAN HOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-2954
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 327-1940
(406) 327-1974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-242612
MT
Other
Enumeration date
01/23/2023
Last updated
04/21/2025
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