Individual
NICOLE MARIE NEDEROSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
285595
MT
363LF0000X
Family Nurse Practitioner
SP026508
PA
Other
Enumeration date
10/25/2022
Last updated
02/03/2026
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