Healthcare Provider Details

I. General information

NPI: 1194656603
Provider Name (Legal Business Name): AMY BREHM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 N BROADWAY AVE
RED LODGE MT
59068-9222
US

IV. Provider business mailing address

2525 N BROADWAY AVE
RED LODGE MT
59068-9222
US

V. Phone/Fax

Practice location:
  • Phone: 406-446-0650
  • Fax: 406-446-1913
Mailing address:
  • Phone: 406-446-0650
  • Fax: 406-446-1913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberNUR-RN-LIC-103533
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: