Provider Demographics
NPI:1235149451
Name:EYLER, NANCY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:EYLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16900
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808
Mailing Address - Country:US
Mailing Address - Phone:406-327-4620
Mailing Address - Fax:406-549-5928
Practice Address - Street 1:1211 S RESERVE ST
Practice Address - Street 2:STE 202
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-3102
Practice Address - Country:US
Practice Address - Phone:406-327-4791
Practice Address - Fax:406-327-4790
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT7150207Q00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000003941OtherBCBS
MT1235149451Medicaid
MT1235149451Medicaid
MT000003941OtherBCBS