person
Mrs. Suzanne C Gullotta, APRN
Family Nurse Practitioner in Somers, Montana
NPI 1962401372

Suzanne C Gullotta is a Family Nurse Practitioner based in Lakeside, MT and is specialized in Family. Suzanne C Gullotta practices in Somers, MT and has the professional credentials of APRN. The NPI Number for Suzanne C Gullotta is 1962401372 and holds a License No. 020838 (Montana).

The current practice location address for Suzanne C Gullotta is 77 Deer Creek Rd, Somers, MT and can be reached out via phone at 406-857-2997 and via fax at 406-857-2996. You can also correspond with Suzanne C Gullotta through the mailing address at PO BOX 649, LAKESIDE, MT - 59922-0649 (mailing address contact number: 406-857-2997).

Location: 77 Deer Creek Rd, Somers, MT, 59922-0649
person
Provider Profile Details
NPI Number
1962401372
Provider Name
Suzanne C Gullotta
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
77 Deer Creek Rd, Somers, MT, 59922-0649
Phone Number
406-857-2997
Fax Number
406-857-2996
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0037108 01 MT MONTANA BCBS NUMBER
0434707 05 MT
institution
Provider Business Practice Location Address Details
Address
77 Deer Creek Rd
City
State
Zip
59932
Phone Number
406-857-2997
Fax Number
406-857-2996
person
Provider Business Mailing Address Details
Address
77 Deer Creek Rd
City
State
Zip
59932
Phone Number
406-857-2997
Fax Number
406-857-2996
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
020838 (Montana)
Definition
Definition to come...
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