Provider Demographics
NPI:1801164330
Name:TOOLEY, CHRISTINA M (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:TOOLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 CASTLE PINES DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-9420
Mailing Address - Country:US
Mailing Address - Phone:617-549-1471
Mailing Address - Fax:
Practice Address - Street 1:300 N WILLSON AVE STE 2001
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3572
Practice Address - Country:US
Practice Address - Phone:406-587-0681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2011010303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily