Healthcare Provider Details

I. General information

NPI: 1669632642
Provider Name (Legal Business Name): AIMEE MICHELLE ALVORD-BROWN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 08/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

IV. Provider business mailing address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3607
  • Fax: 406-248-4881
Mailing address:
  • Phone: 406-248-3609
  • Fax: 406-249-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number290
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: