Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024181066 | VA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 176207 | AK |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NUR-APRN-LIC-176103 | MT |
NPI | 1013585595 |
---|---|
Provider Name | Heather Schiedermayer |
First Address | Missoula, MT 59804-7479 |
Second Address | Missoula, MT 59804-7479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2021 |
Last Update Date | 16/07/2021 |