Individual
SHAWN DERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5200
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-69776
MT
363L00000X
Nurse Practitioner
Primary
NUR-APRN-LIC-266796
MT
Other
Enumeration date
04/24/2025
Last updated
09/04/2025
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