Healthcare Provider Details

I. General information

NPI: 1518020320
Provider Name (Legal Business Name): PADY J DUSING CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 COMMONS LOOP STE F
KALISPELL MT
59901-1912
US

IV. Provider business mailing address

195 COMMONS LOOP
KALISPELL MT
59901-1912
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-0303
  • Fax: 406-752-0314
Mailing address:
  • Phone: 406-752-0303
  • Fax: 406-752-0314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN015471
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number15471
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: