Organization
CONVENIENCECARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYKAY THURSTON FNP (OWNER)
(406) 922-2750
Entity
Organization
Contact information
Practice address
2419 W MAIN ST STE 2, BOZEMAN, MT 59718-3813
(406) 922-2750
(406) 922-2751
Mailing address
2419 W MAIN ST STE 2, BOZEMAN, MT 59718-3813
(406) 922-2750
(406) 922-2751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN9447
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4308344
—
MT
Enumeration date
06/20/2007
Last updated
08/22/2020
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