Healthcare Provider Details

I. General information

NPI: 1750372637
Provider Name (Legal Business Name): KAREN D HEBERLING F.N.P., NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 WINDWARD WAY SUITE 101
KALISPELL MT
59901-3133
US

IV. Provider business mailing address

245 WINDWARD WAY SUITE 101
KALISPELL MT
59901-3133
US

V. Phone/Fax

Practice location:
  • Phone: 406-756-8488
  • Fax: 406-257-4663
Mailing address:
  • Phone: 406-756-8488
  • Fax: 406-257-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-RN-LIC-33760
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: