Grandchamp, Milissa Renee

Grandchamp, Milissa Renee is an sole proprietor health care provider with primary practice located at 5 4Th Ave E , Polson MT 59860-2117. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grandchamp, Milissa Renee can be contacted via phone (406) 745-3525.

Contact Information

Primary practice address
5 4Th Ave E Polson MT 59860-2117
Fax: (406) 745-3529
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 23008 Montana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NUR-APRN-LIC-100330 Montana

Profile Details

NPI number 1083750731
LBN Legal business name Grandchamp, Milissa Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Mar 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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