MEDICARE: KRIS HASBROUCK

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	163WM0705X	Medical-Surgical Registered Nurse	212959	MT

General Provider Information

NPI Number	:	1174400972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRIS HASBROUCK

Provider Business Mailing Address
First Line	:	408 S TRACY AVE APT 2
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-5293
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 S TRACY AVE APT 2
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59715-5293
Country	:	US
Telephone Number	:	970-390-9101
Fax Number	:

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

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

Similar Medicare Providers

1750724787 — DR. ERIN NICHOLE FENOFF D.O.
Practice Location Address:

29000 CENTER RIDGE RD
WESTLAKE, OH
44145-5293

Practice Phone: 440-827-5566
Practice Fax:

1548021926 — MARIA MUNRO-SCHUSTER LCPC
Practice Location Address:

1807 W DICKERSON ST STE D
BOZEMAN, MT
59715-1311

Practice Phone: 406-570-7678
Practice Fax:

1437084977 — DR. NATHAN JAY MATLOCK PHARMD
Practice Location Address:

915 HIGHLAND BLVD
BOZEMAN, MT
59715-6902

Practice Phone: 406-414-5000
Practice Fax:

1902969983 — DR. MICHELE CATHERINE MCKINNIE PSY.D.
Practice Location Address:

1276 N 15TH AVE STE 101
BOZEMAN, MT
59715-3289

Practice Phone: 406-582-1321
Practice Fax: 406-587-1513

1891187837 — MR. BRICE R SUHAY
Practice Location Address:

915 HIGHLAND BLVD
BOZEMAN, MT
59715-6902

Practice Phone: 406-414-3334
Practice Fax:

1073499430 — ALICJA MADLOCH
Practice Location Address:

915 HIGHLAND BLVD
BOZEMAN, MT
59715-6902

Practice Phone: 406-414-5840
Practice Fax:

Directions to “ KRIS HASBROUCK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.