MISTY VANNICE (NPI# 1659791390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659791390 |
| Entity Type | Individual |
| Full Name | MISTY VANNICE |
| Credential | R.N. |
| Practice Address |
634 Eddy Ave Missoula MT 59812-1851 |
| Practice Telephone | 4062434330 |
| Practice Fax Number | 4062436946 |
| Mailing Telephone | 4062434330 |
| Mailing Fax Number | 4062436949 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
NUR-RN-LIC-70225 | MT | Nursing Service Providers |
| Street Address |
634 EDDY AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59812-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726826 | Christine A Merriman | Speech-Language Pathologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2005-11-02 |
| 1447899133 | Joy Anne Graham | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2019-12-30 |
| 1437609013 | Ronny Steven Moates | Speech-Language Pathologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2016-10-07 |
| 1982059531 | Debra Lassila | Registered Nurse | 634 Eddy Ave, Missoula, MT 59812-1851 | 2016-05-02 |
| 1033516562 | Drew Colling | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-11-26 |
| 1447650668 | Mark Dadmun | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-08-25 |
| 1164821229 | Angie Reather Cronin | Psychologist | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-08-14 |
| 1689080368 | Emily Hansen | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-07-02 |
| 1780009332 | Jessie Mccafferty | Counselor | 634 Eddy Ave, Missoula, MT 59812-1851 | 2014-02-19 |
| 1942586268 | Curry Health Center | Clinic/Center | 634 Eddy Ave, Missoula, MT 59812-1851 | 2011-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679094171 | Conor Morrissey Marlatt | Specialist/Technologist | 32 Campus Dr., Missoula, MT 59812 | 2017-07-05 |
| 1932458015 | Nils Jackson | Physical Therapist | 32 Campus Drive, Missoula, MT 59812 | 2012-09-05 |
| 1659520138 | Robert B Curry | Student in an Organized Health Care Education/Training Program | 634 Eddy St, Missoula, MT 59812 | 2008-09-09 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1841841061 | Lonnie Murphy | Pharmacist | 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 | 2019-09-28 |
| 1932686839 | Tessa Gorchesky | Specialist/Technologist | 32 Campus Drive, Missoula, MT 59812 | 2018-07-24 |
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1386262483 | Karly Niemann | Specialist/Technologist | Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 | 2020-07-06 |
| 1912466202 | Jenner Minto | Pharmacist | University of Montana 317 Skaggs Building, Missoula, MT 59812-0001 | 2019-03-15 |
| 1164986691 | Orianne Allison | Dental Hygienist | Curry Health Center 634 Eddy Ave, Missoula, MT 59812-0001 | 2019-01-29 |
| Find all providers in zip 59812 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326239195 | Libby A Costello Gard | Registered Nurse | 1211 S Reserve St Ste 101, Missoula, MT 59801-3103 | 2007-08-07 |
| 1518421486 | Melissa Cotter | Registered Nurse | 900 N Orange St, Missoula, MT 59802-2998 | 2019-01-24 |
| 1619410172 | Jane Hammett | Registered Nurse | 900 N Orange St Ste 103, Missoula, MT 59802-2951 | 2016-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006657 | Joyce Cleavenger | Registered Nurse | 1605 3rd Ave S, Great Falls, MT 59405-2440 | 2007-03-05 |
| 1114530771 | Melinda Coplin | Registered Nurse | 1050 Road Runner St, Helena, MT 59602-0543 | 2020-08-24 |
| 1720258908 | Patricia Marie Tilleman | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-03-04 |
| 1649486614 | Joan M Latray | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-15 |
| 1639385198 | Francine A Hawley | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-14 |
| 1487860953 | Roxian L Dirden | Registered Nurse | Rr 1 Box 67, Harlem, MT 59526-9705 | 2007-05-14 |
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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.