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General NPI Number Information
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NPI Number | 1437728037
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Entity Type | Individual
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Provider Name | NICOLE MARIE FAESSEL APRN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 355 CHASE WAY APT B
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City | BOZEMAN
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State | MT
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Zip | 59718-5473
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Country | US
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Telephone | 406-201-5937
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Fax | 888-829-4791
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Provider Business Mailing Address
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Address Line | 355 CHASE WAY APT B
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City | BOZEMAN
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State | MT
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Zip | 59718-5473
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Country | US
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Telephone | 406-201-5937
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Fax | 888-829-4791
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 70357
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 267058
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | TPAN1125
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-APRN-LIC-176359
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License Number State | MT
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