Healthcare Provider Details

I. General information

NPI: 1033325519
Provider Name (Legal Business Name): NANCY E DUNNE BYINGTON N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY E DUNNE N.D.

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 FORT MISSOULA ROAD STE 105
MISSOULA MT
59804
US

IV. Provider business mailing address

2831 FORT MISSOULA ROAD STE 105
MISSOULA MT
59804
US

V. Phone/Fax

Practice location:
  • Phone: 406-542-2147
  • Fax: 406-728-0978
Mailing address:
  • Phone: 406-542-2147
  • Fax: 406-728-0978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberAHC-NAT-LIC-04
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: