Individual
MIANNE GRAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
401 S WASHINGTON ST, BUTTE, MT 59701-2423
(406) 723-8051
(406) 723-8063
Mailing address
401 S WASHINGTON, BUTTE, MT 59701-7102
(406) 723-8051
(406) 723-8063
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN17279
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37023
BCBS
MT
05
—
430695
—
MT
Enumeration date
06/30/2006
Last updated
07/21/2022
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