MEDICARE: CAROLINE FICHTER 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
1	363LF0000X	Family Nurse Practitioner	128518	MT
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	128518	MT

General Provider Information

NPI Number	:	1124534235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE FICHTER FNP

Provider Business Mailing Address
First Line	:	PO BOX 1951
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-1951
Country	:	US
Telephone Number	:	301-641-4056
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 WISCONSIN AVE STE 2
Second Line	:
City	:	WHITEFISH
State	:	MT
Zip	:	59937-2319
Country	:	US
Telephone Number	:	301-641-4056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	01/20/2025

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