Healthcare Provider Details

I. General information

NPI: 1821614488
Provider Name (Legal Business Name): NATASHA GALLETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 DIVISION RD
GREAT FALLS MT
59404-1921
US

IV. Provider business mailing address

982055 NEBRASKA MEDICAL CTR
OMAHA NE
68198-2055
US

V. Phone/Fax

Practice location:
  • Phone: 406-268-1600
  • Fax:
Mailing address:
  • Phone: 402-559-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMED-PHYS-LIC-141521
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code207RA0000X
TaxonomyAdolescent Medicine (Internal Medicine) Physician
License Number8893
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: