SearchMontana363A00000X

Alexis Vantiem, PA-C

NPI 1124706627 · on the registry since 2023

Practice

Address
1208 6th Ave. E
Superior, MT 59872
Phone
(406) 822-4803
Fax
(406) 822-3848
Organisation at this address
Missoula Community Health Services, Inc.
Missoula Community Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana