Healthcare Provider Details

I. General information

NPI: 1225572936
Provider Name (Legal Business Name): BRIANNA DOROTHY HOBBS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N ORANGE ST
MISSOULA MT
59802-2998
US

IV. Provider business mailing address

900 N ORANGE ST
MISSOULA MT
59802-2998
US

V. Phone/Fax

Practice location:
  • Phone: 406-329-5776
  • Fax:
Mailing address:
  • Phone: 406-329-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNUR-RN-LIC-75889
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: