Healthcare Provider Details

I. General information

NPI: 1235563669
Provider Name (Legal Business Name): STEPHANIE D ANGERT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5549 OLD HIGHWAY 93
FLORENCE MT
59833-6845
US

IV. Provider business mailing address

PO BOX 12
LIBERTY LAKE WA
99019-0012
US

V. Phone/Fax

Practice location:
  • Phone: 406-279-4923
  • Fax: 406-329-4174
Mailing address:
  • Phone: 406-327-1918
  • Fax: 406-329-2937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number37234
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37234
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: