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General NPI Number Information
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NPI Number | 1982551347
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Entity Type | Organization
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Legal Business Name | HEALTHSPAN MEDICAL AND FITNESS
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 2825 STOCKYARD RD STE C5
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City | MISSOULA
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State | MT
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Zip | 59808-1514
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Country | US
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Telephone | 406-218-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 STOCKYARD RD STE C5
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City | MISSOULA
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State | MT
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Zip | 59808-1514
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Country | US
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Telephone | 406-218-4420
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | STACEY LYNN RIFFE
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Credential | FNP-C
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Telephone | 406-360-3352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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