MEDICARE: PAUL ANTHONY KROGUE DNP, APRN, ACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	132525	MT

General Provider Information

NPI Number	:	1225504277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL ANTHONY KROGUE DNP, APRN, ACNP-BC

Provider Business Mailing Address
First Line	:	1220 CENTRAL AVE
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3764
Country	:	US
Telephone Number	:	406-268-1510
Fax Number	:	406-268-1914

Provider Business Practice Location Address
First Line	:	1220 CENTRAL AVE W
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-3969
Country	:	US
Telephone Number	:	406-267-1510
Fax Number	:	406-268-1914

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

Provider Enumeration Date	:	10/17/2018
Last Update Date	:	02/18/2026

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