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NPI Code Detail

MEDICARE: SUSAN ASBELL FNP

MEDICARE: SUSAN ASBELL FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN14131MT
2363LF0000XFamily Nurse Practitioner11007.1632WY
3363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-100016MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000372013OTHERMTBCBS
2NUR-APRN-LIC-100016OTHERMTLICENSE

General Provider Information

NPI Number : 1053425462
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ASBELL FNP
Provider Business Mailing Address
First Line : 3318 3RD AVE N STE 200
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1900
Country : US
Telephone Number : 406-248-3149
Fax Number : 406-245-6636
Provider Business Practice Location Address
First Line : 708 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-2710
Country : US
Telephone Number : 406-839-2900
Fax Number : 406-839-2910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 09/01/2020

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