Healthcare Provider Details

I. General information

NPI: 1487482147
Provider Name (Legal Business Name): SAMANTHA KRATOFIL APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMI KRATOFIL

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N 10TH ST STE A
HAMILTON MT
59840-2318
US

IV. Provider business mailing address

330 N 10TH ST STE A
HAMILTON MT
59840-2318
US

V. Phone/Fax

Practice location:
  • Phone: 406-363-3627
  • Fax:
Mailing address:
  • Phone: 406-370-5602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-241114
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: