Healthcare Provider Details

I. General information

NPI: 1447879564
Provider Name (Legal Business Name): GABRIELA MORIE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 W LEWIS ST
LIVINGSTON MT
59047-3066
US

IV. Provider business mailing address

112 W LEWIS ST
LIVINGSTON MT
59047-3066
US

V. Phone/Fax

Practice location:
  • Phone: 406-222-1111
  • Fax:
Mailing address:
  • Phone: 406-222-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209019953
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-240234
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: