Healthcare Provider Details

I. General information

NPI: 1194133876
Provider Name (Legal Business Name): CLAIRE LOUISE REYNOLDS RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAIRE LOUISE DEHAAN

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 9TH AVE SE
CUT BANK MT
59427-3332
US

IV. Provider business mailing address

22 2ND ST SE
CUT BANK MT
59427-3213
US

V. Phone/Fax

Practice location:
  • Phone: 406-873-5507
  • Fax: 406-873-3133
Mailing address:
  • Phone: 406-845-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-100474
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberNUR-RN-LIC-75551
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: