MEDICARE: MRS. SARAH MONZELLA PACK MBA, MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	178107	MT

General Provider Information

NPI Number	:	1841853876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH MONZELLA PACK MBA, MSN, FNP-BC

Provider Business Mailing Address
First Line	:	1415 NORTHWEST BYP STE 2
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1710
Country	:	US
Telephone Number	:	406-788-6300
Fax Number	:	888-458-1063

Provider Business Practice Location Address
First Line	:	1415 NORTHWEST BYP STE 2
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1710
Country	:	US
Telephone Number	:	406-788-6300
Fax Number	:	888-458-1063

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2019
Last Update Date	:	03/22/2023

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Directions to “ MRS. SARAH MONZELLA PACK MBA, MSN, FNP-BC” Practice Location

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