Provider Demographics
NPI:1265846828
Name:MCCLURE, ANISHA (PA-C)
Entity Type:Individual
Prefix:
First Name:ANISHA
Middle Name:
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:624 BETH DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-3710
Mailing Address - Country:US
Mailing Address - Phone:443-257-6523
Mailing Address - Fax:
Practice Address - Street 1:1401 25TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5183
Practice Address - Country:US
Practice Address - Phone:406-455-5000
Practice Address - Fax:406-731-8813
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2024-04-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant