Individual
LYNN BERTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2831 FORT MISSOULA RD, PARKSIDE COMMUNITY FAMILY CARE, MISSOULA, MT 59804
(406) 327-3880
Mailing address
PO BOX 16900, MISSOULA, MT 59808
(406) 327-4620
(406) 549-5928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN100064
MT
363L00000X
Nurse Practitioner
RN10813
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000370510
BCBS
MT
05
—
1538269766
—
MT
Enumeration date
09/25/2006
Last updated
05/14/2020
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