Healthcare Provider Details

I. General information

NPI: 1477460145
Provider Name (Legal Business Name): DANIELA LOPEZ-MORALES DE HAUCK
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 S 27TH ST
BILLINGS MT
59101-4200
US

IV. Provider business mailing address

123 S 27TH ST
BILLINGS MT
59101-4200
US

V. Phone/Fax

Practice location:
  • Phone: 406-247-3360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN-76128
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: