Individual
MARY PANNILL STUART MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2230 N RESERVE ST STE 402, MISSOULA, MT 59808-1364
(406) 721-0533
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NUR-APRN-LIC-217792
MT
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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