Healthcare Provider Details

I. General information

NPI: 1699498469
Provider Name (Legal Business Name): ABBIGALE ROSE CARMICHAEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBIGALE ROSE NEWMAN

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 7TH AVE S
GREAT FALLS MT
59405-2267
US

IV. Provider business mailing address

601 1ST AVE N
GREAT FALLS MT
59401-2510
US

V. Phone/Fax

Practice location:
  • Phone: 406-454-6973
  • Fax: 406-791-9277
Mailing address:
  • Phone: 406-454-6973
  • Fax: 406-791-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMED-PAC-LIC-116296
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: