Healthcare Provider Details

I. General information

NPI: 1720924111
Provider Name (Legal Business Name): CHRISTINA WOOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 PARTRIDGE PL STE 1
HELENA MT
59602-0528
US

IV. Provider business mailing address

2211 HIGHLAND ST
HELENA MT
59601-5548
US

V. Phone/Fax

Practice location:
  • Phone: 406-422-1011
  • Fax: 406-422-1013
Mailing address:
  • Phone: 406-422-1011
  • Fax: 406-422-1013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberNUR-RN-LIC-103551
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: