Individual
CORY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
300 GARNET WAY, WARM SPRINGS, MT 59756-9700
(406) 693-7000
Mailing address
300 GARNET WAY, WARM SPRINGS, MT 59756-9700
(406) 693-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
217158
MT
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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