Provider Demographics
NPI:1154479772
Name:AAGENES, NANCY (ND)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:AAGENES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 N RODNEY ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3577
Mailing Address - Country:US
Mailing Address - Phone:406-442-8508
Mailing Address - Fax:406-442-2656
Practice Address - Street 1:1075 N RODNEY ST
Practice Address - Street 2:SUITE 107
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3577
Practice Address - Country:US
Practice Address - Phone:406-442-8508
Practice Address - Fax:406-442-2656
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT20175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath