LESLIE C MUNRO (NPI# 1942238530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942238530 |
Entity Type | Individual |
Full Name | LESLIE C MUNRO |
Credential | N P |
Practice Address |
401 W Pennsylvania Ave Anaconda MT 59711-1931 |
Practice Telephone | 4065638500 |
Practice Fax Number | 4065638691 |
Mailing Telephone | 4065638528 |
Mailing Fax Number | 4065638694 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2015-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
14783 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 1942238530 | 05 | |
MT | STATE LICENSE | 14783 | 01 |
Street Address |
401 W PENNSYLVANIA AVE |
City | ANACONDA |
State | MT |
Zip Code | 59711-1931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174502280 | Andre Michael Pennardt | Emergency Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2006-01-17 |
1649894825 | Amanda Lynn Gange | Physical Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1999 | 2020-06-03 |
1396229613 | Alisa Sullivan | Registered Nurse | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2018-09-21 |
1770079949 | Kelsie Elizabeth Larson | Dietitian, Registered | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2018-07-10 |
1659822526 | Community Hospital of Anaconda | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
1972054856 | Community Hospital of Anaconda | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
1417408394 | Rehab Department | Occupational Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-17 |
1093265035 | Community Hospital of Anaconda | Clinic/Center | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2016-10-13 |
1205238052 | Melissa Tyvand | Dietitian, Registered | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2014-09-24 |
1841609625 | Katilyn Marie Fleury | Physical Therapist | 401 W Pennsylvania Ave, Anaconda, MT 59711-1931 | 2014-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
Find all providers in zip 59711 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386151207 | Mary Anderson | Nurse Practitioner | 2002 Knight St, Helena, MT 59601-1562 | 2017-12-30 |
1568828226 | Mary Shick | Nurse Practitioner | 2835 Fort Missoula Rd Ste 200, Physicians Building No. 3, Missoula, MT 59804-7424 | 2016-01-11 |
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 |
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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.