Christine Marie Walsh, AGNP | |
100 Garnet Way, Warm Springs, MT 59756-9705 | |
(406) 693-7000 | |
(406) 693-7267 |
Full Name | Christine Marie Walsh |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 100 Garnet Way, Warm Springs, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073259651 | NPI | - | NPPES |
1073259651 | Medicaid | MT | |
NUR-APRN-LIC194354 | Other | MT | BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 194354 (Montana) | Primary |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220830002269 |
Mailing Address | Practice Location Address |
---|---|
Christine Marie Walsh, AGNP 2217 Amherst Ave # A, Butte, MT 59701-3840 Ph: (406) 498-9236 | Christine Marie Walsh, AGNP 100 Garnet Way, Warm Springs, MT 59756-9705 Ph: (406) 693-7000 |
Melody S Wilkinson, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Amanda Beth Womack, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Nora Ann Schillo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 | |
Stephanie G Dever, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 | |
Kammiell Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7008 Fax: 406-444-3082 | |
Cory Daniels, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Garnet Way, Warm Springs, MT 59756 Phone: 406-693-7000 |