| Headwaters Wellness Pllc | |
|
118 Main St Kalispell MT 59901-4452 | |
| (406) 219-1104 | |
| Not Available |
| Full Name | Headwaters Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 118 Main St, Kalispell, Montana |
| Authorized Official Name and Position | Brittany Eppard (OWNER/APRN) |
| Authorized Official Contact | 4062191104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headwaters Wellness Pllc 118 Main St Kalispell MT 59901-4452 Ph: (406) 219-1104 | Headwaters Wellness Pllc 118 Main St Kalispell MT 59901-4452 Ph: (406) 219-1104 |
| NPI Number | 1811657216 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811657216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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