Healthcare Provider Details

I. General information

NPI: 1952826968
Provider Name (Legal Business Name): KATELYN ROSE BRIGGS DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W PENNSYLVANIA AVE
ANACONDA MT
59711
US

IV. Provider business mailing address

401 W PENNSYLVANIA AVE
ANACONDA MT
59711-1999
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-8571
  • Fax: 406-563-8523
Mailing address:
  • Phone: 406-563-8500
  • Fax: 406-563-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-127019
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: