NPI 1710460761

Jennifer Maricelli, HHPRMA

Practitioner Health Educator Missoula, MT

Practice location

Address: 1620 Regent St STE B, Missoula, MT 59801-5685
Phone: (406) 370-0425
Mailing address: 19820 Rambling Rose Ln, Florence, MT 59833-6089

Registered specialties (3)

Health Educator Primary

Other Service Providers Taxonomy 174H00000X Licence 53373505 (TX)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 53373505 (TX)

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 53373505 (TX)

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Registry record

NPI: 1710460761
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2018
Record last updated: 14 Sep 2018

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.