MEDICARE: KARA MARIE ADDISON DNP-C

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	363L00000X	Nurse Practitioner	NUR-APRN-LIC-100802	MT
2	363LF0000X	Family Nurse Practitioner	2680189	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295090983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA MARIE ADDISON DNP-C

Provider Business Mailing Address
First Line	:	920 FRONT STREET
Second Line	:	SUITE 103
City	:	HELENA
State	:	MT
Zip	:	59601-3442
Country	:	US
Telephone Number	:	406-820-3376
Fax Number	:	406-312-1611

Provider Business Practice Location Address
First Line	:	920 FRONT STREET SUITE 103
Second Line	:	SUITE 103
City	:	HELENA
State	:	MT
Zip	:	59601-3442
Country	:	US
Telephone Number	:	406-820-3376
Fax Number	:	406-312-1611

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	04/03/2024

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