Healthcare Provider Details

I. General information

NPI: 1710947726
Provider Name (Legal Business Name): ANNE M. WEINBERGER A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTWOOD DR
HAMILTON MT
59840-2345
US

IV. Provider business mailing address

1224 W MAIN ST
HAMILTON MT
59840-2338
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-5101
  • Fax: 406-363-7652
Mailing address:
  • Phone: 406-375-4823
  • Fax: 406-375-4846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number222761
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number67813
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: