Organization · NPI-2

Ava Health LLC

Nurse Practitioner, Family · Missoula, MT

NPI number1548740822
StatusActive
Last updated in NPPESSep 15, 2022

Details

NPI
1548740822
Entity type
Organization (NPI-2)
Legal business name
Ava Health LLC
Organization subpart
No
Enumeration date
Aug 16, 2018
Certification date
Sep 15, 2022
Last updated
Sep 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family131528MTYes

Practice location

2875 Tina Ave Ste 107
Missoula, MT 59808-1582

Phone 406-544-0628 · Fax 406-302-0899

Mailing address

2875 Tina Ave Ste 107
Missoula, MT 59808-1582

Phone 406-544-0628 · Fax 406-302-0899

Authorized official

Michelle Weaver Knowles
Owner/Fnp
4065440628

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