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General NPI Number Information
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NPI Number | 1114580701
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Entity Type | Individual
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Provider Name | MARTHA LEIGH NUGENT APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 813 S CENTRAL AVE
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City | SIDNEY
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State | MT
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Zip | 59270-4940
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Country | US
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Telephone | 406-519-3446
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Fax | 406-401-0144
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Provider Business Mailing Address
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Address Line | 813 S CENTRAL AVE
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City | SIDNEY
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State | MT
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Zip | 59270-4940
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Country | US
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Telephone | 406-393-5300
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Fax | 406-401-0144
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R52997
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NUR-APRN-LIC-149639
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License Number State | MT
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