Individual
DEREK HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
900 N ORANGE ST, MISSOULA, MT 59802-2998
(406) 327-3362
(406) 327-3349
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-3362
(406) 327-3349
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-195627
MT
Other
Enumeration date
06/16/2022
Last updated
07/28/2022
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