Individual
MARY P ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
45227
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679511547
BCBS
MT
05
—
1679511547
—
MT
Enumeration date
06/03/2006
Last updated
04/27/2012
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