Individual
DANNA MARLENE MICECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 522-7357
(406) 522-8361
Mailing address
40 WILDHORSE TRL, BELGRADE, MT 59714-8892
(406) 580-6616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
48204
MT
363LF0000X
Family Nurse Practitioner
Primary
242347
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUR-APRN-LIC-242347
STATE BOARD OF NURSING
MT
Enumeration date
07/22/2013
Last updated
09/04/2024
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