MEDICARE: BARBARA SMITH RN

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	163W00000X	Registered Nurse	NUR-RN-LIC-192560	MT

General Provider Information

NPI Number	:	1568817732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA SMITH RN

Provider Business Mailing Address
First Line	:	502 PATTEE CANYON DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1621
Country	:	US
Telephone Number	:	406-633-3236
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 PATTEE CANYON DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1621
Country	:	US
Telephone Number	:	406-633-3236
Fax Number	:

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

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	01/09/2026

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