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General NPI Number Information
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NPI Number | 1558137760
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Entity Type | Individual
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Provider Name | KRISTINA SKYE ANDERSON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 1300 EIGTH ST W
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 406-257-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 11 KAREN RD
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-4465
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Country | US
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Telephone | 207-217-2011
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Fax |
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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 | NUR-APRN-LIC-219369
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License Number State | MT
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