=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073401881
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHELE NOELLE GEPPERT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2025
-----------------------------------------------------
Last Update Date | 06/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1214 SILVERADO TRL
-----------------------------------------------------
City | BIG SKY
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59716-7880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-599-7075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 161766
-----------------------------------------------------
City | BIG SKY
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59716-1766
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-599-7075
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | NUR-APRN-LIC-265166
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------