Provider Demographics
NPI:1508699653
Name:STULC, GAYE LYNN (FNP-C)
Entity type:Individual
Prefix:
First Name:GAYE
Middle Name:LYNN
Last Name:STULC
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 OVERLAND AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6440
Mailing Address - Country:US
Mailing Address - Phone:406-855-8943
Mailing Address - Fax:
Practice Address - Street 1:760 8TH ST N
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-1643
Practice Address - Country:US
Practice Address - Phone:406-855-8943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-242128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily