Organization
ELLEN S DEWOLFE MSN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN S DEWOLFE MSN CNS (OWNER)
(065) 497-3254
Entity
Organization
Contact information
Practice address
125 BANK ST STE 310, MISSOULA, MT 59802-4413
(406) 549-7325
(406) 549-7559
Mailing address
PO BOX 3138, MISSOULA, MT 59806-3138
(406) 549-7325
(406) 549-7559
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN16128
MT
Other
Enumeration date
08/22/2006
Last updated
10/10/2019
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