MEDICARE: ELIZABETH NORWOOD FNP

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	104100000X	Social Worker	BBH-SWLC-LIC-18910	MT
2	1041C0700X	Clinical Social Worker	BBH-SWLC-LIC-18910	MT
3	363LF0000X	Family Nurse Practitioner	263759	MT

General Provider Information

NPI Number	:	1184159311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH NORWOOD FNP

Provider Business Mailing Address
First Line	:	PO BOX 8523
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59904-1523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 2ND ST E STE 207
Second Line	:
City	:	KALISPELL
State	:	MT
Zip	:	59901-4500
Country	:	US
Telephone Number	:	406-890-9440
Fax Number	:

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

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	05/15/2025

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