Healthcare Provider Details

I. General information

NPI: 1316862147
Provider Name (Legal Business Name): MEGHAN LUELLA HACKETT BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 29TH ST S
GREAT FALLS MT
59405-5353
US

IV. Provider business mailing address

611 ALICE DR
GREAT FALLS MT
59405-3707
US

V. Phone/Fax

Practice location:
  • Phone: 406-761-7924
  • Fax: 406-761-7945
Mailing address:
  • Phone: 406-750-6125
  • Fax: 406-761-7945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: