MARY SHICK (NPI# 1568828226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568828226 |
Entity Type | Individual |
Full Name | MARY SHICK |
Credential | AGNP |
Practice Address |
2835 Fort Missoula Rd Ste 200 Physicians Building No. 3 Missoula MT 59804-7424 |
Mailing Address |
2835 Fort Missoula Rd Physicians Building No. 3 Missoula MT 59804-7423 |
Practice Telephone | 4067215600 |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NUR-APRN-LIC-101 | MT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992733240 | Mary Susan Shick | Registered Nurse | 421 W 1st St, Bloomington, IN 47403-2403 | 2006-06-28 |
Street Address |
2835 FORT MISSOULA RD STE 200 PHYSICIANS BUILDING NO. 3 |
City | MISSOULA |
State | MT |
Zip Code | 59804-7424 |
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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275877912 | Sara Marie Zehnpfennig | Nurse Practitioner | 2901 Brooks St, Missoula, MT 59801-7722 | 2012-11-19 |
1396091716 | Melissa Anne Jordan | Nurse Practitioner | 500 W Broadway St Fl 3, Missoula, MT 59802-4008 | 2012-08-03 |
1376713594 | Becca Nicole Snyder | Nurse Practitioner | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2008-03-04 |
1962523746 | Laela L Shimer | Nurse Practitioner | 634 Eddy Ave, Missoula, MT 59812-1851 | 2007-04-02 |
1780744011 | Julie Mcmahon | Nurse Practitioner | 900 N Orange St, Ste. 205, Missoula, MT 59802-2998 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386151207 | Mary Anderson | Nurse Practitioner | 2002 Knight St, Helena, MT 59601-1562 | 2017-12-30 |
1043503113 | Paul Pfennig | Nurse Practitioner | 309 S Central Ave, Sidney, MT 59270-4127 | 2011-05-24 |
1962541359 | Alice Running | Nurse Practitioner | 300 N Willson Ave Ste 303c, Bozeman, MT 59715-3551 | 2007-02-05 |
1457336471 | Dawn Marie Murray | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2005-12-13 |
1639735616 | Julie Renee Romasko | Nurse Practitioner | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2019-05-14 |
1235794918 | Amanda Beth Womack | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-9700 | 2019-05-07 |
1821563230 | Maria Krasowski | Nurse Practitioner | 801 N 29th St, Billings, MT 59101-0905 | 2018-10-11 |
1427530369 | Danielle Tinsley | Nurse Practitioner | 25 W Front St, Butte, MT 59701-2801 | 2018-09-06 |
1962981068 | Callie Puls | Nurse Practitioner | 1231 N 29th St, Billings, MT 59101-0122 | 2018-08-09 |
1629512173 | Melissa A Cobb | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2016-12-16 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MARY SHICK.
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.