Individual
CAROL KITTRELL SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
937 HIGHLAND BLVD STE 5410, BOZEMAN, MT 59715-6916
(406) 414-2400
Mailing address
937 HIGHLAND BLVD STE 5410, BOZEMAN, MT 59715-6916
(406) 414-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11301
MT
Other
Enumeration date
11/03/2011
Last updated
07/26/2021
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