Healthcare Provider Details

I. General information

NPI: 1740116771
Provider Name (Legal Business Name): AMBER MASSEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 PARK AVE
SHELBY MT
59474-1663
US

IV. Provider business mailing address

725 1ST ST S
SHELBY MT
59474-1820
US

V. Phone/Fax

Practice location:
  • Phone: 406-434-2300
  • Fax:
Mailing address:
  • Phone: 406-597-7086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberNUR-RN-LIC-38291
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: