Physician Compare National (NPI:1750383287)

HEALTHCARE PROVIDER: DENISE G GRESHAM FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750383287
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587850896
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101129001049
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRESHAM
	Individual professional last name
Provider First Name	DENISE
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2517 7TH AVE S
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B3
	Group Practice or individual's line 2 address
City	GREAT FALLS
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	594053033
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270086
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GREAT FALLS CLINIC HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	270012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BENEFIS HOSPITALS INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	270004
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BILLINGS CLINIC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y