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NPI Code Detail

MEDICARE: SHEREE NOEL HAUGEN PMHNP-BC

MEDICARE: SHEREE NOEL HAUGEN 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-281200MT

General Provider Information

NPI Number : 1417811365
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEREE NOEL HAUGEN PMHNP-BC
Provider Business Mailing Address
First Line : 1325 WYOMING ST
Second Line :
City : MISSOULA
State : MT
Zip : 59801-1725
Country : US
Telephone Number : 406-532-9700
Fax Number :
Provider Business Practice Location Address
First Line : 1325 WYOMING ST
Second Line :
City : MISSOULA
State : MT
Zip : 59801-1725
Country : US
Telephone Number : 406-532-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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