Healthcare Provider Details

I. General information

NPI: 1508635293
Provider Name (Legal Business Name): RACHEL ELIZABETH MEHLENBACHER MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 RAILWAY AVE
THREE FORKS MT
59752-9080
US

IV. Provider business mailing address

16 RAILWAY AVE
THREE FORKS MT
59752-9080
US

V. Phone/Fax

Practice location:
  • Phone: 406-285-3251
  • Fax: 833-438-7380
Mailing address:
  • Phone: 406-285-3251
  • Fax: 833-438-7380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number197914
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: