Healthcare Provider Details

I. General information

NPI: 1376232983
Provider Name (Legal Business Name): NORA ANN SCHILLO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GARNET WAY
WARM SPRINGS MT
59756-9700
US

IV. Provider business mailing address

1011 E 4TH ST
ANACONDA MT
59711-2607
US

V. Phone/Fax

Practice location:
  • Phone: 406-693-7008
  • Fax:
Mailing address:
  • Phone: 406-221-6833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-214910
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: