Healthcare Provider Details

I. General information

NPI: 1730658840
Provider Name (Legal Business Name): LINDSAY WIMETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

IV. Provider business mailing address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-1360
  • Fax:
Mailing address:
  • Phone: 406-585-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMED-PAC-LIC-79790
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: