Healthcare Provider Details

I. General information

NPI: 1053267773
Provider Name (Legal Business Name): STEPHEN ALEXANDER CATLETT RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALEX CATLETT RN, PMHNP

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 N ORANGE ST
MISSOULA MT
59802-2928
US

IV. Provider business mailing address

902 N ORANGE ST
MISSOULA MT
59802-2928
US

V. Phone/Fax

Practice location:
  • Phone: 406-219-8875
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-292893
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: