Healthcare Provider Details

I. General information

NPI: 1801164330
Provider Name (Legal Business Name): CHRISTINA M. TOOLEY F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 12/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WILLSON AVE STE 2001
BOZEMAN MT
59715-3572
US

IV. Provider business mailing address

3406 CASTLE PINES DR
BILLINGS MT
59101-9420
US

V. Phone/Fax

Practice location:
  • Phone: 406-587-0681
  • Fax:
Mailing address:
  • Phone: 617-549-1471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011010303
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: