Healthcare Provider Details

I. General information

NPI: 1588752869
Provider Name (Legal Business Name): MELANIE E GOODNIGHT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE E MARTIN FNP

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 N 3RD ST
HAMILTON MT
59840-2480
US

IV. Provider business mailing address

316 N 3RD ST
HAMILTON MT
59840-2480
US

V. Phone/Fax

Practice location:
  • Phone: 406-541-0032
  • Fax: 406-541-0036
Mailing address:
  • Phone: 406-541-0032
  • Fax: 406-541-0036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-103033
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number27454.1008
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1485905121
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number155558
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: