Mrs. Nicole C. Dearmond P.A.
Medical Physician Assistant in Wilsall, MT(View on Map)
Full Name
Mrs. Nicole C. Dearmond P.A.
NPI Number
1245251230
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/22/2006
Specialties
(Taxonomies)Code
363AM0700X
363A00000X
363AS0400X
Primary Taxonomy
Yes
No
No
Licenses
State
Montana
Wisconsin
License Number
530
1883-023
Contact
Information
Purpose
Mailing
Location
Address
320 ALPENGLOW LN
309 ELLIOT STREET NORTH
City
Livingston
Wilsall
State
MT
MT
Postal Code
59047-8506
59086-0347
Country
US
US
Telephone Number
(406) 222-3541
(406) 578-2222
Identifiers
Identifier
1245251230
Identifier State
MT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/23/2016