IndividualActive
Bonnie Roll
NPI 1619368115 · Advanced Practice Midwife · Livingston, MT
Provider details
- NPI number
- 1619368115
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1512 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
320 Alpenglow Ln
Livingston, MT 59047-8506
Phone: (406) 222-3541
Fax: (406) 222-7606
Approximate (ZIP-level) locationGet directions
Mailing address
320 Alpenglow Ln
Livingston, MT 59047-8506
Registry dates
- Enumerated
- 2015-02-05
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.