Female

Chantal M. Gougeon APRN

Nurse Practitioner in Clinton, MT(View on Map)

Full Name

Chantal Marie Gougeon APRN

NPI Number

1467221465

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/02/2024

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

NUR-APRN-LIC-218334

Contact
Information

Purpose

Mailing
Location

Address

8121 BEAR CLAN CT
15515 KENDALL CREEK RD

City

Las Vegas
Clinton

State

NV
MT

Postal Code

89131-1455
59825-9708

Country

US
US

Telephone Number

N/A
(702) 466-2495

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/02/2024

Provider Address