Individual
LISA ANN MARCILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2525 E BROADWAY ST, STE 101, HELENA, MT 59601-8049
(406) 447-2885
(406) 447-2883
Mailing address
2525 E BROADWAY ST, STE 101, HELENA, MT 59601-8049
(406) 447-2885
(406) 447-2883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25880
MT
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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