Individual
DONNA M. VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-1502
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
99107
MT
Other
Enumeration date
10/05/2015
Last updated
12/12/2017
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