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NPI Code Detail

MEDICARE: ELIZABETH CAMILLE HUDDLESTON FNP-C

MEDICARE: ELIZABETH CAMILLE HUDDLESTON FNP-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
1363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-235303MT

General Provider Information

NPI Number : 1518719244
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CAMILLE HUDDLESTON FNP-C
Provider Business Mailing Address
First Line : PO BOX 6010
Second Line :
City : GREAT FALLS
State : MT
Zip : 59406-6010
Country : US
Telephone Number : 406-455-3535
Fax Number :
Provider Business Practice Location Address
First Line : 1518 CHOUTEAU ST
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-9003
Country : US
Telephone Number : 406-622-5485
Fax Number : 406-466-5670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 04/18/2024

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Directions to “ ELIZABETH CAMILLE HUDDLESTON FNP-C” Practice Location

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