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Mrs. Libby A Costello Gard, FNP
Family Nurse Practitioner in Missoula, Montana
NPI 1326239195

Libby A Costello Gard is a Family Nurse Practitioner based in Missoula, MT and is specialized in Family. Libby A Costello Gard practices in Missoula, MT and has the professional credentials of FNP. The NPI Number for Libby A Costello Gard is 1326239195 and holds a License No. 099007632RN (Montana).

The current practice location address for Libby A Costello Gard is 1211 S Reserve St Ste 101, Missoula, MT and can be reached out via phone at 406-327-3057 and via fax at 406-327-3231.

Location: 1211 S Reserve St Ste 101, Missoula, MT, 59802-4008
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Provider Profile Details
NPI Number
1326239195
Provider Name
Libby A Costello Gard
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1211 S Reserve St Ste 101, Missoula, MT, 59802-4008
Phone Number
406-327-3057
Fax Number
406-327-3231
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500616442 05 OR
institution
Provider Business Practice Location Address Details
Address
1211 S Reserve St Ste 101
City
State
Zip
59801-3103
Phone Number
406-327-3057
Fax Number
406-327-3231
person
Provider Business Mailing Address Details
Address
1211 S Reserve St Ste 101
City
State
Zip
59801-3103
Phone Number
406-327-3057
Fax Number
406-327-3231
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
200850014NP (Oregon)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
099007632RN (Oregon)
Definition
Definition to come...
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