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NPI Code Detail

MEDICARE: MICHELLE J SMITH NP

MEDICARE: MICHELLE J SMITH NP
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 PractitionerRN19338MT

General Provider Information

NPI Number : 1174564298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE J SMITH NP
Provider Business Mailing Address
First Line : 304 OSLOSKI RD
Second Line :
City : EUREKA
State : MT
Zip : 59917-9217
Country : US
Telephone Number : 406-297-3145
Fax Number : 406-297-3364
Provider Business Practice Location Address
First Line : 304 OSLOSKI RD
Second Line :
City : EUREKA
State : MT
Zip : 59917-9217
Country : US
Telephone Number : 406-297-3145
Fax Number : 406-297-3364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 04/09/2025

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