Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOUNTAIN SAGE HOLISTIC CLINIC, LLC
Active OrganizationMOUNTAIN SAGE HOLISTIC CLINIC, LLC is a Primary Care Nurse Practitioner organization located in DUBOIS, Wyoming. NPI 1376924621 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · DUBOIS, WY
Registration Details
- NPI Number
- 1376924621
- Provider Type
- Organization
- NPI Issued
- Jun 12, 2015 (11.127877911376 yrs)
- Last Updated
- Jun 12, 2015
- License
-
33105.1295 (WY)
Practice Information
- Address
-
1428 WARM SPRINGS DRDUBOIS, WY, 825131428Browse WY providers · Browse ZIP 82513
- Phone
- 3074552807
- Fax
- 3074552809
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.