Individual
ERIN MARIE PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 523-5650
Mailing address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 523-5650
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
NUR-RN-LIC-152526
MT
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUR-APRN-LIC-174173
MONTANA BOARD OF NURSING
MT
01
—
NUR-RN-LIC-152526
MONTANA BOARD OF NURSING
MT
Enumeration date
02/09/2021
Last updated
03/03/2021
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