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NPI Code Detail

MEDICARE: SARI REY KERSLAKE FNP

MEDICARE:   SARI REY KERSLAKE  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician143817MT
2363LF0000XFamily Nurse Practitioner143817MT

General Provider Information

NPI Number : 1174081723
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARI REY KERSLAKE FNP
Provider Business Mailing Address
First Line : PO BOX 31001-4110
Second Line :
City : PASADENA
State : CA
Zip : 91110-4110
Country : US
Telephone Number : 406-777-5522
Fax Number : 406-777-1175
Provider Business Practice Location Address
First Line : 715 MAIN ST
Second Line :
City : STEVENSVILLE
State : MT
Zip : 59870-2846
Country : US
Telephone Number : 406-777-5522
Fax Number : 406-777-1175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2019
Last Update Date : 05/22/2025

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Directions to “ SARI REY KERSLAKE FNP” Practice Location

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