Laura Conway, R.N., C.P.S.N.

Individual provider Active NPI Plastic Surgery Registered Nurse · Missoula, MT

NPI 1164576146 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1164576146
Entity type
Individual (NPI type 1)
Primary specialty
Plastic Surgery Registered Nurse 163WS0121X
License
RN18431 (MT)
Practice address
2802 Great Northern Loop
Missoula, MT 59808-1738
Phone
(406) 728-3811
Fax
(406) 721-9141
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN18431MTMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Plastic Surgery Associates, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X RN18431 MT Yes

Addresses

Primary practice location

2802 Great Northern Loop
Missoula, MT 59808-1738

Mailing address

2802 Great Northern Loop
Missoula, MT 59808-1738
Phone (406) 728-3811

Other providers in Missoula, MT

All providers in Missoula, MT · Plastic Surgery Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.