Healthcare Provider Details

I. General information

NPI: 1962685610
Provider Name (Legal Business Name): MICHELLE NAIL-NOFTSINGER F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 11/27/2023
Certification Date: 06/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CLAREMONT ST STE A
KALISPELL MT
59901-3500
US

IV. Provider business mailing address

75 CLAREMONT ST
KALISPELL MT
59901-3585
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8282
  • Fax:
Mailing address:
  • Phone: 406-752-8282
  • Fax: 406-758-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number100526
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: