MEDICARE: MICHELLE OZARK FNP-C

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
1	207Q00000X	Family Medicine Physician	161745	MT

General Provider Information

NPI Number	:	1538842885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE OZARK FNP-C

Provider Business Mailing Address
First Line	:	1004 VALLEY VIEW DR
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-1537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 4TH AVE S
Second Line	:
City	:	GLASGOW
State	:	MT
Zip	:	59230-2416
Country	:	US
Telephone Number	:	406-698-0162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	08/11/2023

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Directions to “ MICHELLE OZARK FNP-C” Practice Location

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