Individual
ASHLEY MARIE BROWNLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 587-0122
(844) 656-2480
Mailing address
3400 LARAMIE DR, BOZEMAN, MT 59718-2005
(406) 587-0122
(844) 656-2480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12923
MN
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-123945
MT
363AM0700X
Medical Physician Assistant
12923
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159355
NCCPA
—
01
—
12923
PHYSICIAN ASSISTANT STATE LICENSE
MN
01
—
MED-PAC-LIC-123945
PHYSICIAN ASSISTANT STATE LICENSE
MT
Enumeration date
02/15/2019
Last updated
08/09/2023
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