Individual
DENISE G GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2517 7TH AVE S, B-3, GREAT FALLS, MT 59405-3032
(406) 315-3503
(406) 315-3505
Mailing address
2517 7TH AVE S, STE B3, GREAT FALLS, MT 59405-3033
(406) 315-3503
(406) 315-3505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN019237
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434148
—
MT
Enumeration date
08/15/2005
Last updated
07/24/2016
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