IndividualActive
Abigail Bosoluke, PA-C
NPI 1912505769 · Physician Assistant · Bozeman, MT
Provider details
- NPI number
- 1912505769
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MED-PAC-LIC-90444 (MT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
316 E Babcock St
Bozeman, MT 59715-4710
Phone: (618) 830-0080
Approximate (ZIP-level) locationGet directions
Mailing address
316 E Babcock St
Bozeman, MT 59715-4710
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.