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Individual

MS. DAWN GORMELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
1930 9TH AVENUE, HELENA, MT 59601
(406) 457-0000
(406) 457-8992
Mailing address
1930 9TH AVE, HELENA, MT 59601-4759
(406) 457-0000
(406) 500-2128

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MTRN016908
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37086
BCBS
MT
05
439036
MT
01
50006414
RAILROAD MEDICARE
MT
Enumeration date
01/09/2006
Last updated
02/25/2020
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