MEDICARE: MRS. AMBER RAE EDWARDS FNP-C, APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	24455	MT
2	363LF0000X	Family Nurse Practitioner	100348	MT

General Provider Information

NPI Number	:	1194910075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER RAE EDWARDS FNP-C, APRN

Provider Business Mailing Address
First Line	:	PO BOX 4484
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59702-4484
Country	:	US
Telephone Number	:	406-565-2454
Fax Number	:	406-593-1653

Provider Business Practice Location Address
First Line	:	2000 OTTAWA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-6008
Country	:	US
Telephone Number	:	406-565-2454
Fax Number	:	406-578-1542

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

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	01/09/2023

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