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NPI Code Detail

MEDICARE: KINDRA VANESSA PARKS MSN, APRN, PMHNP-BC

MEDICARE: KINDRA VANESSA PARKS MSN, APRN, PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNUR-APRN-LIC-173832MT

General Provider Information

NPI Number : 1225621113
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINDRA VANESSA PARKS MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 1923 ARGYLE ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-5505
Country : US
Telephone Number : 540-470-0842
Fax Number : 406-723-7117
Provider Business Practice Location Address
First Line : 106 W BROADWAY ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-9224
Country : US
Telephone Number : 406-497-9090
Fax Number : 406-723-7117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/18/2026

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