Organization
MONTANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON KOLUPAEVA CRNA (OWNER/MANAGER)
(775) 560-8000
Entity
Organization
Contact information
Practice address
23 CRAZYHEAD RD, LIVINGSTON, MT 59047-9402
(775) 560-8000
Mailing address
23 CRAZYHEAD RD, LIVINGSTON, MT 59047-9402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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