Individual
MRS. MARY E ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 385-6337
(507) 385-6497
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13722
MT
363LA2200X
Adult Health Nurse Practitioner
Primary
R145433-84
MT
374T00000X
Religious Nonmedical Nursing Personnel
R 145433-8
MN
Other
Enumeration date
11/04/2007
Last updated
08/16/2015
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