Healthcare Provider Details

I. General information

NPI: 1053105585
Provider Name (Legal Business Name): DARCY CHENOWETH RN, APRN, DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 08/05/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 BENTON AVE
MISSOULA MT
59801-8725
US

IV. Provider business mailing address

265 BENTON AVE
MISSOULA MT
59801-8725
US

V. Phone/Fax

Practice location:
  • Phone: 406-546-0758
  • Fax:
Mailing address:
  • Phone: 406-546-0758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-266513
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number177667
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: