ELLEN S DEWOLFE (NPI# 1174639199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174639199 |
| Entity Type | Individual |
| Full Name | ELLEN S DEWOLFE |
| Credential | MSN PC |
| Practice Address |
125 Bank St Ste 310 Missoula MT 59802-4413 |
| Mailing Address |
Po Box 3138 Missoula MT 59806-3138 |
| Practice Telephone | 4065497325 |
| Practice Fax Number | 4065497559 |
| Mailing Telephone | 4065497325 |
| Mailing Fax Number | 4065497559 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN16128 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 4300153 | 05 | |
| MT | BC/BS | 000098073 | 01 |
| MT | RAILROAD MEDICARE | 890000386 | 01 |
| Street Address |
125 BANK ST STE 310 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245400787 | William D. Patenaude, Phd PC | Clinical Neuropsychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-03-11 |
| 1801066345 | Thomas J. Clucas, Phd, P.C. | Psychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-03-11 |
| 1538338629 | Sfs Phd Inc | Psychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-02-22 |
| 1891801817 | Ellen S Dewolfe Msn P.C. | Clinical Nurse Specialist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801817 | Ellen S Dewolfe Msn P.C. | Clinical Nurse Specialist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851742266 | Annette Griffin | Clinical Nurse Specialist | 115 4th St S, Great Falls, MT 59401-3618 | 2016-06-27 |
| 1144464082 | Karen A. Boone | Clinical Nurse Specialist | 521 4th St, Havre, MT 59501-3649 | 2009-04-22 |
| 1154484970 | Dana Hillyer | Clinical Nurse Specialist | 1125 Missoula Ave, Suite B, Helena, MT 59601-3801 | 2006-12-19 |
Please comment or provide details below to improve the information on ELLEN S DEWOLFE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.