Healthcare Provider Details

I. General information

NPI: 1831822204
Provider Name (Legal Business Name): CHRISTOPHER SCOTT SMITH DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N MONTANA AVE STE B
HELENA MT
59601-4185
US

IV. Provider business mailing address

820 N MONTANA AVE STE B
HELENA MT
59601-4185
US

V. Phone/Fax

Practice location:
  • Phone: 406-443-7733
  • Fax: 406-443-8292
Mailing address:
  • Phone: 406-443-7733
  • Fax: 406-443-8292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number196071
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number196071
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: