Healthcare Provider Details

I. General information

NPI: 1659174209
Provider Name (Legal Business Name): BARBARA ANNE BAGGIOLINI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2025
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9705 LOST PRAIRIE RD
MARION MT
59925-9844
US

IV. Provider business mailing address

9705 LOST PRAIRIE RD
MARION MT
59925-9844
US

V. Phone/Fax

Practice location:
  • Phone: 406-962-0786
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberNUR-RN-LIC-206617
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: