Organization
HUCKLEBERRY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE G GRESHAM FNP (OWNER)
(406) 315-3503
Entity
Organization
Contact information
Practice address
2517 7TH AVE S, B-3, GREAT FALLS, MT 59405-3032
(406) 315-3503
(406) 315-3505
Mailing address
PO BOX 6191, GREAT FALLS, MT 59406-6191
(406) 315-3503
(406) 315-3505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
019237
MT
Other
Enumeration date
11/21/2012
Last updated
11/26/2012
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