OrganizationActive
Four Corners Health Care Inc
NPI 1245312644 · Pediatric Nurse Practitioner · Bozeman, MT
Provider details
- NPI number
- 1245312644
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Marie Mitchell, President Health Care Provider(406) 556-8300
- License
- RN20521 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7720 Shedhorn Dr Ste D
Bozeman, MT 59718
Phone: (406) 556-8300
Fax: (406) 556-8304
Approximate (ZIP-level) locationGet directions
Mailing address
7720 Shedhorn Dr Ste D
Bozeman, MT 59718
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.