Individual
ASHLEY NICOLE VANDER SYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 PTARMIGAN LN, HELENA, MT 59602-0521
(406) 457-4180
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103616
MT
363A00000X
Physician Assistant
PA-2797
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VANDEAN167OD
DRIVER'S LICENSE
WA
Enumeration date
11/15/2020
Last updated
07/25/2025
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