Healthcare Provider Details

I. General information

NPI: 1801605415
Provider Name (Legal Business Name): MECHELL ROSSI
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 446
DARBY MT
59829-0446
US

IV. Provider business mailing address

PO BOX 446
DARBY MT
59829-0446
US

V. Phone/Fax

Practice location:
  • Phone: 559-381-2511
  • Fax:
Mailing address:
  • Phone: 559-381-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number243924
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: