Individual provider · NPI-1

Matthew J Anderson, FNP

Nurse Practitioner, Family · Missoula, MT

NPI number1497095210
StatusActive
Last updated in NPPESMar 25, 2025

Details

NPI
1497095210
Entity type
Individual (NPI-1)
Name
Mr. Matthew J Anderson
Credential
FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 15, 2013
Certification date
Mar 25, 2025
Last updated
Mar 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family45557MTYes

Practice location

2831 Fort Missoula Rd Ste 203
Missoula, MT 59804-7479

Phone 406-203-6261 · Fax 406-327-6702

Mailing address

Po Box 9352
Missoula, MT 59807-9352

Phone 406-203-4776 · Fax 406-327-6702

Other practice locations

341 W Pine St
Missoula, MT 59802-4119

Phone 406-327-0269 · Fax 406-327-0264

3031 S Russell St
Missoula, MT 59801-8523

Phone 406-203-4776 · Fax 406-327-6702

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