Healthcare Provider Details

I. General information

NPI: 1366491961
Provider Name (Legal Business Name): KARRIN WILHELMINA SAX WOMENS HEALTH NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CLAREMONT ST SUITE A NORTHWEST WOMENS HEALTH CARE
KALISPELL MT
59901-3500
US

IV. Provider business mailing address

75 CLAREMONT ST SUITE A NORTHWEST WOMENS HEALTH CARE
KALISPELL MT
59901-3500
US

V. Phone/Fax

Practice location:
  • Phone: 406-752-8282
  • Fax: 406-257-2225
Mailing address:
  • Phone: 406-752-8282
  • Fax: 406-257-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN25114
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN25114
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: