Healthcare Provider Details

I. General information

NPI: 1427985837
Provider Name (Legal Business Name): REBECCA ANN CUNNINGHAM PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 CHOTEAU AVE
GREAT FALLS MT
59404-4319
US

IV. Provider business mailing address

1005 CHOTEAU AVE
GREAT FALLS MT
59404-4319
US

V. Phone/Fax

Practice location:
  • Phone: 406-788-0048
  • Fax:
Mailing address:
  • Phone: 406-788-0048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-289059
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: