PAMELA B PETERSON NP
NPI 1073656682
Nurse Practitioner - Family in Missoula, MT

Active since February 14, 2007
2360 MULLAN RD STE C, MISSOULA, MT 59808(406) 721-4436(406) 542-1037 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pamela B Peterson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA B PETERSON NP (NPI 1073656682) is an individual family provider in Missoula, Montana, licensed in Montana (RN18519) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073656682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA B PETERSONCredential: NP
Location Address2360 MULLAN RD STE CMissoula, MT 59808-1811
Mailing Address2360 Mullan Rd Ste CMissoula, MT 59808-1811 · (406) 721-4436 · Fax (406) 542-1037
Fax(406) 542-1037
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 26, 2014
NPI 1073656682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MT · RN18519
2360 MULLAN RD STE C, Missoula, MT 59808

Other Identifiers 6

Medicaid806516800ID
Other000372730MT · Blue Cross Blue Shield
Other500027942 CK5082Railroad Medicare
Medicare UPINS90334
Medicare ID-Type Unspecified000082891MT
Medicaid0439998MT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
2360 MULLAN RD STE C
MISSOULA, MT 59808
Physician Assistant
2360 MULLAN RD STE C
MISSOULA, MT 59808
Orthopaedic Surgery
2360 MULLAN RD STE C
MISSOULA, MT 59808
Physical Therapist
2360 MULLAN RD STE C
MISSOULA, MT 59808
Physical Therapist
2360 MULLAN RD STE C
MISSOULA, MT 59808
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2360 MULLAN RD STE C
MISSOULA, MT 59808
Specialist/Technologist (Athletic Trainer)
2360 MULLAN RD STE C
MISSOULA, MT 59808
Specialist/Technologist (Athletic Trainer)
2360 MULLAN RD STE C
MISSOULA, MT 59808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Peterson's NPI number?

The NPI number for Pamela Peterson is 1073656682. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Pamela Peterson located?

Pamela Peterson practices at 2360 Mullan Rd Ste C, Missoula, MT 59808. The listed phone number is (406) 721-4436.

What is Pamela Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Pamela Peterson was last updated on August 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.