Individual
MS. LAELA L SHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-2790
Mailing address
220 E CENTRAL AVE, MISSOULA, MT 59801-6917
(406) 721-1960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN9141
MT
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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