Healthcare Provider Details

I. General information

NPI: 1235149451
Provider Name (Legal Business Name): NANCY EYLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 S RESERVE ST STE 202
MISSOULA MT
59801-3102
US

IV. Provider business mailing address

PO BOX 16900
MISSOULA MT
59808
US

V. Phone/Fax

Practice location:
  • Phone: 406-327-4791
  • Fax: 406-327-4790
Mailing address:
  • Phone: 406-327-4620
  • Fax: 406-549-5928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT7150
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMT7150
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: