MS. NADINE M. WISNIEWSKI (NPI# 1245357177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245357177 |
| Entity Type | Individual |
| Full Name | MS. NADINE M. WISNIEWSKI |
| Credential | PH.D. |
| Practice Address |
27 Fort Missoula Rd Ste B4 Missoula MT 59804-7206 |
| Mailing Address |
Po Box 1171 Florence MT 59833-1171 |
| Practice Telephone | 4063701727 |
| Mailing Telephone | 4063701727 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
MT254 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS | 50641 | 01 |
| Street Address |
27 FORT MISSOULA RD STE B4 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164760237 | Bryan Neil Cochran | Psychologist | Sb143 Dept of Psychology, Missoula, MT 59812-0001 | 2013-01-24 |
| 1639373939 | M.j.h.h., Inc. | Psychologist | 445 S 5th St W, Missoula, MT 59801-2619 | 2007-06-12 |
| 1013110113 | Janet P. Wollersheim | Psychologist | 1900 Brooks St, Missoula, MT 59801-6644 | 2007-06-06 |
| 1861694119 | Ammons Psychological Services, Pllc | Psychologist | 2831 Fort Missoula Rd Ste 201, Physicians' Center #2, Missoula, MT 59804-7401 | 2007-05-31 |
| 1841324738 | Craig Harold Ravesloot | Psychologist | 101 E Broadway St Ste 310, Missoula, MT 59802-4510 | 2007-03-15 |
| 1629127063 | Christine Fiore | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2007-01-08 |
| 1083778351 | David Schuldberg | Psychologist | 1444 Mansfield, (cpc), Missoula, MT 59812-1584 | 2006-12-21 |
| 1609942069 | Danette M Wollersheim | Psychologist | 129 W Kent Ave, Ste I, Missoula, MT 59801-6730 | 2006-11-28 |
| 1790855443 | Cindy L Miller | Psychologist | 1805 Bancroft, Ste I, Missoula, MT 59801 | 2006-11-09 |
| 1568558591 | Mary Joan Hess-homeier | Psychologist | 445 S. Fifth St., W., Missoula, MT 59801-2619 | 2006-10-05 |
| Find all providers in MISSOULA | ||||
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| 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.