Individual
ANDREA GRACE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2950 10TH AVE N, BILLINGS, MT 59101-0720
(406) 657-4000
Mailing address
640 CHINOOK PL, BILLINGS, MT 59102-7032
(406) 850-4119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
167934
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/12/2020
Last updated
12/02/2020
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