Individual
AMY SCHIETZELT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-5046
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0003965
CO
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-53295
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355577
—
CO
Enumeration date
04/01/2014
Last updated
07/30/2020
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