Healthcare Provider Details

I. General information

NPI: 1073960274
Provider Name (Legal Business Name): CHRISTOPHER GLEASON MSN APRN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 29TH ST S STE 1
GREAT FALLS MT
59405-5316
US

IV. Provider business mailing address

1400 29TH ST S STE 1
GREAT FALLS MT
59405-5316
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344305
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number175602
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN-175602
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number175602
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: