Provider Demographics
NPI:1750550943
Name:HUDDLE, MARY E (NP)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:E
Last Name:HUDDLE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:601 W SPRUCE ST STE C
Mailing Address - Street 2:OCCUPATIONAL HEALTH SERVICES, ST. PATRICK HOSPITAL
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4047
Mailing Address - Country:US
Mailing Address - Phone:406-329-5746
Mailing Address - Fax:406-327-1697
Practice Address - Street 1:601 W SPRUCE ST STE C
Practice Address - Street 2:OCCUPATIONAL HEALTH SERVICES, ST. PATRICK HOSPITAL
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4047
Practice Address - Country:US
Practice Address - Phone:406-329-5746
Practice Address - Fax:406-327-1697
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT23392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner