Individual
SUZANNE WILBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
905 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6903
(406) 414-5150
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
272373
MT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN61139099
WA
367A00000X
Advanced Practice Midwife
Primary
272373
MT
367A00000X
Advanced Practice Midwife
66117
ID
367A00000X
Advanced Practice Midwife
AP61139097
WA
367A00000X
Advanced Practice Midwife
N361143735
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174476
—
WA
01
—
66117
IDAHO STATE BOARD OF NURSING
ID
Enumeration date
10/16/2020
Last updated
01/13/2026
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