Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary C De Souza, MSPANP

Individual provider Adult Health Nurse Practitioner · NPI 1700972742

Mary C De Souza, MSPANP is an Adult Health Nurse Practitioner in Kalispell, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
Specialties on file
3

Practice location Address checks out

343 Sunnyview Ln
Kalispell, MT 59901-3156
Phone: (406) 752-1790
Fax: (406) 756-3529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 101363 (MT)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN26302 (MT)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence 26302 (MT)

Record details

NPI number1700972742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPANP
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESNovember 27, 2023
Certification dateJune 26, 2020
Mailing address343 Sunnyview Ln, Kalispell, MT 59901-3156

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