Individual
MICHELLE A MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2230 N RESERVE ST STE 110, MISSOULA, MT 59808
(406) 926-5111
Mailing address
2230 N RESERVE ST STE 110, MISSOULA, MT 59808-1364
(406) 697-0179
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-177185
MT
363LA2200X
Adult Health Nurse Practitioner
NUR-APRN-LIC-177185
MT
363LG0600X
Gerontology Nurse Practitioner
NUR-APRN-LIC-177185
MT
Other
Enumeration date
01/12/2022
Last updated
04/03/2025
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