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Contact Information

MARY C DE SOUZA, MSP ANP
343 SUNNYVIEW LN
KALISPELL, MT59901-3156
 Phone: 406-752-1790
 Fax: 406-756-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MARY C DE SOUZA · (Female)

NPI # 1700972742
Status Active
Credentials MSP ANP
Entity Individual
Enumeration date 10/05/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 101363
  • MT License # 26302
  • MT License # RN26302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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