MEDICARE: ERIN WHIPP PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NUR-APRN-LIC-262599	MT

General Provider Information

NPI Number	:	1104754894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN WHIPP PMHNP-BC

Provider Business Mailing Address
First Line	:	1639 MANSFIELD AVE
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-5856
Country	:	US
Telephone Number	:	406-207-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 CONNERY WAY STE 201
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1186
Country	:	US
Telephone Number	:	406-207-9681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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