Individual
CHARLENE DE GRASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2673 PALMER ST STE 201, MISSOULA, MT 59808-1783
(406) 728-8848
(406) 549-8970
Mailing address
2673 PALMER ST STE 201, MISSOULA, MT 59808-1783
(406) 728-8848
(406) 549-8970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220059
MT
Other
Enumeration date
06/21/2018
Last updated
07/14/2025
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