Provider Demographics
NPI:1053304378
Name:WARLING, TROY DENNIS (FNP)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:DENNIS
Last Name:WARLING
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 FORT MISSOULA RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7420
Mailing Address - Country:US
Mailing Address - Phone:406-926-3500
Mailing Address - Fax:406-926-3498
Practice Address - Street 1:2835 FORT MISSOULA RD
Practice Address - Street 2:PHYSICIAN CENTER 3, SUITE 204
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7423
Practice Address - Country:US
Practice Address - Phone:406-327-3935
Practice Address - Fax:406-327-3933
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200550091NP363LF0000X
MT33092363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q51516Medicare UPIN
R132477Medicare ID - Type Unspecified