Whalio Doctors

NPI 1528495355

Nevada Bennett Thompson

Practitioner Community Health Worker Bozeman, MT

Practice location

Address
2622 W Main St Suite D, Bozeman, MT 59718-3967
Phone
(406) 587-9679

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence LMT-LMT-LIC-908 (MT)

Registry record

NPI
1528495355
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Oct 2013
Record last updated
11 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.