Healthcare Provider Details

I. General information

NPI: 1922930551
Provider Name (Legal Business Name): PNT WELLNESS: DIABETES & AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 12TH AVE S STE 101
GREAT FALLS MT
59405-5017
US

IV. Provider business mailing address

2300 12TH AVE S STE 101
GREAT FALLS MT
59405-5017
US

V. Phone/Fax

Practice location:
  • Phone: 406-761-5252
  • Fax: 406-761-3626
Mailing address:
  • Phone: 406-761-5252
  • Fax: 406-761-3626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PAULINE MARIE CONWAY
Title or Position: PROVIDER
Credential: FNP
Phone: 406-799-3886