Degrazio, Brenda Marie

Degrazio, Brenda Marie is an individual health care provider with primary practice located at 2825 Fort Missoula Rd Ste 217, Missoula MT 59804-7403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Degrazio, Brenda Marie can be contacted via phone (406) 728-8170.

Contact Information

Primary practice address
2825 Fort Missoula Rd Ste 217 Missoula MT 59804-7403
Phone: (406) 728-8170
Fax: (406) 728-9409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RH019408 Montana

Profile Details

NPI number 1699738153
LBN Legal business name Degrazio, Brenda Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699738153 NPPES
Montana MEDICAID 0433771
Montana Other 81036208059804A005
Montana Other 000036190

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