Individual
MAILE CHRISTINE MACALUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1750
(406) 327-1960
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1750
(406) 327-1960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-48315
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-242966
MT
Other
Enumeration date
01/01/2019
Last updated
10/08/2024
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