Individual
AMY B VAN CLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 BROOKS ST, MISSOULA, MT 59801-7703
(406) 721-0918
(406) 829-7830
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
197670
MT
363LF0000X
Family Nurse Practitioner
Primary
197670
MT
Other
Enumeration date
09/16/2022
Last updated
01/24/2023
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