Individual
LAURA J WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
640 PARK AVE, SHELBY, MT 59474-1663
(406) 434-3204
Mailing address
1530 P B LN # W4973, WICHITA FALLS, TX 76302-2612
(252) 571-2736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5010940
NC
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-161020
MT
Other
Enumeration date
09/05/2018
Last updated
04/28/2025
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