Provider Demographics
NPI:1881236958
Name:VAN DRUFF, MICHELLE (CNM)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:VAN DRUFF
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 245W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7586
Mailing Address - Country:US
Mailing Address - Phone:406-238-6010
Mailing Address - Fax:406-238-6022
Practice Address - Street 1:2900 12TH AVE N STE 245W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7586
Practice Address - Country:US
Practice Address - Phone:406-238-6010
Practice Address - Fax:406-238-6022
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPENDING367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife