Healthcare Provider Details

I. General information

NPI: 1124653829
Provider Name (Legal Business Name): AFTON J. BRUFFEY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N 29TH ST
BILLINGS MT
59101-0905
US

IV. Provider business mailing address

3926 RIFLE CREEK TRL
BILLINGS MT
59106-9642
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-6265
  • Fax:
Mailing address:
  • Phone: 406-544-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNUR-APRN-LIC-148859
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberMED-APRN-LIC-148859
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: