Individual
MRS. AMY BETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3330 PTARMIGAN LN, HELENA, MT 59602
(406) 457-4180
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
(406) 447-2760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22036
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4307823
—
MT
Enumeration date
03/09/2007
Last updated
07/26/2018
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