Individual
DONITA MARIEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 442-2480
Mailing address
27 BRIDLE BIT LOOP, CLANCY, MT 59634
(406) 459-7035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44979
MT
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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