Healthcare Provider Details

I. General information

NPI: 1760151567
Provider Name (Legal Business Name): RACHEL WITHROW APRN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 N CENTER AVE
HARDIN MT
59034-1100
US

IV. Provider business mailing address

1223 N CENTER AVE
HARDIN MT
59034-1100
US

V. Phone/Fax

Practice location:
  • Phone: 406-665-4103
  • Fax:
Mailing address:
  • Phone: 406-665-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number177628
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-177628
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: