Provider Demographics
NPI:1831877984
Name:GARRIHY, MICHELLE LEE (APRN)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:GARRIHY
Suffix:
Gender:F
Credentials:APRN
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 5084
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-5084
Mailing Address - Country:US
Mailing Address - Phone:406-660-1613
Mailing Address - Fax:
Practice Address - Street 1:435 5TH ST W
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-3034
Practice Address - Country:US
Practice Address - Phone:406-660-1613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT215365363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner