Individual provider · NPI-1

Bodee Alt, APRN

Nurse Practitioner, Family · Missoula, MT

NPI number1174993703
StatusActive
Last updated in NPPESOct 1, 2015

Details

NPI
1174993703
Entity type
Individual (NPI-1)
Name
Bodee Alt
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 24, 2015
Last updated
Oct 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family44583MTYes

Practice location

500 W Broadway St
Missoula, MT 59802-4008

Phone 406-543-7271

Mailing address

Po Box 12
Liberty Lake, WA 99019-0012

Phone 406-543-7271

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