Provider Demographics
NPI:1770285884
Name:DIANE QUICK LLC
Entity type:Organization
Organization Name:DIANE QUICK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD PMHNP-BC
Authorized Official - Phone:406-861-1940
Mailing Address - Street 1:1018 NORTH 30TH ST.
Mailing Address - Street 2:
Mailing Address - City:BILLING
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-861-1940
Mailing Address - Fax:
Practice Address - Street 1:1018 N. 30TH ST.
Practice Address - Street 2:
Practice Address - City:BILLING
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-861-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty