Justine M. Derousse, PA-C Valid NPI

Individual provider · Physician Assistant · Bozeman, MT

NPI

1609843168

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

451 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2006-03-03

Last updated

2025-04-15