Healthcare Provider Details

I. General information

NPI: 1518711951
Provider Name (Legal Business Name): SHERRIE EAVES PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 W PARK ST
BUTTE MT
59701-1713
US

IV. Provider business mailing address

603 WASHINGTON ST
DEER LODGE MT
59722-1347
US

V. Phone/Fax

Practice location:
  • Phone: 406-497-9069
  • Fax:
Mailing address:
  • Phone: 270-519-0491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number224127
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: