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NPI Code Detail

MEDICARE: MS. NICOLE RAE LEGERE FNP

MEDICARE: MS. NICOLE RAE LEGERE FNP
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
1163W00000XRegistered NurseRN30747MT
2363LF0000XFamily Nurse Practitioner7071149ID
3363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-101298MT
4207P00000XEmergency Medicine Physician101298MT

General Provider Information

NPI Number : 1396910006
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE RAE LEGERE FNP
Provider Business Mailing Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number :
Provider Business Practice Location Address
First Line : 17 N MILES AVE
Second Line :
City : HARDIN
State : MT
Zip : 59034-2323
Country : US
Telephone Number : 406-665-2310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 03/26/2026

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