Mary C De Souza, MSP ANP
Nurse Practitioner, Adult Health in Kalispell, MT. Individual provider (NPI-1).
NPI number1700972742
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1700972742
- Entity type
- Individual (NPI-1)
- Name
- Mary C De Souza
- Credential
- MSP ANP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Certification date
- Jun 26, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 101363 | MT | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | RN26302 | MT | |
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 26302 | MT |
Practice location
343 Sunnyview LnKalispell, MT 59901-3156
Phone 406-752-1790 · Fax 406-756-3529
Mailing address
343 Sunnyview LnKalispell, MT 59901-3156
Phone 406-752-1790 · Fax 406-756-3529
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All 9 Adult Health Nurse Practitioner providers in Kalispell · All 2,256 providers in Kalispell
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