| Sarina Wilson | |
|
504 Main St Stevensville MT 59870-2836 | |
| (406) 641-2345 | |
| (406) 720-7989 |
| Full Name | Sarina Wilson |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 Main St, Stevensville, Montana |
| Authorized Official Name and Position | Sarina Sue Wilson (NURSE PRACTITIONER, OWNER) |
| Authorized Official Contact | 4066412345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarina Wilson 504 Main St Stevensville MT 59870-2836 Ph: (406) 641-2345 | Sarina Wilson 504 Main St Stevensville MT 59870-2836 Ph: (406) 641-2345 |
| NPI Number | 1861279507 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 9032566575 |
|---|---|
| Medicare Enrollment ID | O20231106001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861279507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sarina Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386072932 PECOS PAC ID: 8921236498 Enrollment ID: I20180223001154 |
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