Healthcare Provider Details

I. General information

NPI: 1528058286
Provider Name (Legal Business Name): MICHELE BEEBE MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 2ND ST. SO., STE. A
GLASGOW MT
59230-2600
US

IV. Provider business mailing address

630 2ND AVE. SO., STE. A
GLASGOW MT
59230-2600
US

V. Phone/Fax

Practice location:
  • Phone: 406-228-4101
  • Fax: 406-228-4101
Mailing address:
  • Phone: 406-228-4101
  • Fax: 406-228-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN25106
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: