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NPI Code Detail

MEDICARE: MICHELE BEEBE MSN, FNP

MEDICARE: MICHELE BEEBE MSN, 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
1363LF0000XFamily Nurse PractitionerRN25106MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00390285OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000371151OTHERMTBCBS MONTANA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528058286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE BEEBE MSN, FNP
Provider Business Mailing Address
First Line : 630 2ND AVE. SO., STE. A
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-4101
Fax Number : 406-228-4101
Provider Business Practice Location Address
First Line : 630 2ND ST. SO., STE. A
Second Line :
City : GLASGOW
State : MT
Zip : 59230-2600
Country : US
Telephone Number : 406-228-4101
Fax Number : 406-228-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 04/05/2010

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