Individual
COLLEEN DIANE EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
522 DEAN CREEK RD, LAVINA, MT 59046-7219
(406) 575-4241
(775) 890-5613
Mailing address
522 DEAN CREEK RD, LAVINA, MT 59046-7219
(406) 575-4241
(775) 890-5613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24181
MT
363LF0000X
Family Nurse Practitioner
835
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000911
—
OR
01
—
025349007
BSOR
OR
Enumeration date
08/02/2006
Last updated
04/13/2009
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