Evan Robert Thompson
Nurse Practitioner - Psychiatric/Mental Health
2825 Stockyard Rd
Missoula
, Montana 59808-1503
Evan Robert Thompson
Nurse Practitioner - Psychiatric/Mental Health
2825 Stockyard Rd
Missoula
, Montana 59808-1503
(406) 396-5764
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Evan Robert Thompson
- 911 Cheyenne Ln
- Missoula, MT
- Zip : 59802-8822
- Phone : (406) 396-5764
Second Address
- Evan Robert Thompson
- 2825 Stockyard Rd
- Missoula, MT
- Zip : 59808-1503
- Phone : (406) 201-7142
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NUR-APRN-LIC-159929 | MT |
National Provider Identifier
| NPI | 1033735063 |
|---|---|
| Provider Name | Evan Robert Thompson |
| First Address | Missoula, MT 59802-8822 |
| Second Address | Missoula, MT 59808-1503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2020 |
| Last Update Date | 29/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.