Individual
LIESE PESSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPF
Contact information
Practice address
214 E MENDENHALL ST, GALLATIN COMMUNITY CLINIC, BOZEMAN, MT 59715-3638
(406) 525-1360
(406) 823-6305
Mailing address
126 S MAIN ST, COMMUNITY HEALTH PARTNERS, LIVINGSTON, MT 59047-2624
(406) 222-1111
(406) 823-6305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN22756
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307502
—
MT
Enumeration date
10/05/2006
Last updated
01/31/2012
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