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NPI Code Detail

MEDICARE: BRIANNA ROSE VESCO PMHNP

MEDICARE:   BRIANNA ROSE VESCO  PMHNP
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
1163W00000XRegistered NurseNUR-RN-LIC-157804MT
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNUR-APRN-LIC-240135MT

General Provider Information

NPI Number : 1538906508
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA ROSE VESCO PMHNP
Provider Business Mailing Address
First Line : 711 W SILVER ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1518
Country : US
Telephone Number : 406-444-1069
Fax Number :
Provider Business Practice Location Address
First Line : 711 W SILVER ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-1518
Country : US
Telephone Number : 406-444-1069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 07/09/2024

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Directions to “ BRIANNA ROSE VESCO PMHNP” Practice Location

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