Organization
AVA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WEAVER KNOWLES FNP (OWNER/FNP)
(406) 544-0628
Entity
Organization
Contact information
Practice address
2875 TINA AVE STE 107, MISSOULA, MT 59808-1582
(406) 544-0628
(406) 302-0899
Mailing address
2875 TINA AVE STE 107, MISSOULA, MT 59808-1582
(406) 544-0628
(406) 302-0899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
131528
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205313590
INDIVIDUAL NPI NUMBER
MT
Enumeration date
08/16/2018
Last updated
09/15/2022
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