Healthcare Provider Details

I. General information

NPI: 1225716673
Provider Name (Legal Business Name): MARY FLORENCE TRUSLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S 7650 E
CROW AGENCY MT
59022
US

IV. Provider business mailing address

2970 CENTRAL AVE APT 414
BILLINGS MT
59102-8650
US

V. Phone/Fax

Practice location:
  • Phone: 406-638-3500
  • Fax:
Mailing address:
  • Phone: 406-671-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number166026
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number78904
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: