Mary C De Souza, MSP ANP Valid NPI

Individual provider · Adult Health Nurse Practitioner · Kalispell, MT

NPI

1700972742

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

License number

101363 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2006-10-05

Last updated

2023-11-27