Provider Demographics
NPI:1841853876
Name:PACK, SARAH MONZELLA (MBA, MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MONZELLA
Last Name:PACK
Suffix:
Gender:F
Credentials:MBA, MSN, FNP-BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1415 NORTHWEST BYP STE 2
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-1710
Mailing Address - Country:US
Mailing Address - Phone:406-788-6300
Mailing Address - Fax:888-458-1063
Practice Address - Street 1:1415 NORTHWEST BYP STE 2
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-1710
Practice Address - Country:US
Practice Address - Phone:406-788-6300
Practice Address - Fax:888-458-1063
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT178107363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily