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Organization

MONTANA THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. LAUREL A ANDRECHAK FNP (FAMILY NURSE PRACTITIONER)
(406) 622-5955
Entity
Organization

Contact information

Practice address
2111 WASHINGTON ST, FORT BENTON, MT 59442
(406) 622-5955
(406) 622-5477
Mailing address
2111 WASHINGTON, PO BOX 806, FORT BENTON, MT 59442
(406) 622-5955
(406) 622-5477

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20513RN
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20513RN
MT

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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