Healthcare Provider Details
I. General information
NPI: 1265359806
Provider Name (Legal Business Name): FLOURISHING VENTURES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
322 2ND ST W
KALISPELL MT
59901-4414
US
IV. Provider business mailing address
PO BOX 471
KALISPELL MT
59903-0471
US
V. Phone/Fax
- Phone: 406-909-0895
- Fax:
- Phone: 406-909-0895
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARA
LOUISE
BERRY
Title or Position: OWNER
Credential: APRN, FNP-BC
Phone: 406-909-0895