Search › Montana › 363LF0000X
Nicole Bothman
NPI 1437717360 · on the registry since 2019 · sole proprietor
Practice
- Address
- 308 Louisiana Ave Ste 1
Libby, MT 59923 - Phone
- (406) 283-6800
- Organisation at this address
- Lance L Ercanbrack M.D.,P.C.
Kalispell Regional Medical Center Inc
Northwest Montana Surgical Associates, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1333 Surgical Services Drive, Kalispell, MT
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-17
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