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NPI Code Detail

MEDICARE: KATHRYN ROGOTZKE FOOTE FNP

MEDICARE:   KATHRYN ROGOTZKE FOOTE  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 Practitioner38612MT

General Provider Information

NPI Number : 1568886844
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ROGOTZKE FOOTE FNP
Provider Business Mailing Address
First Line : 1211 S RESERVE ST STE 101
Second Line :
City : MISSOULA
State : MT
Zip : 59801-3103
Country : US
Telephone Number : 406-327-3057
Fax Number : 406-327-3231
Provider Business Practice Location Address
First Line : 1211 S RESERVE ST STE 101
Second Line :
City : MISSOULA
State : MT
Zip : 59801-3103
Country : US
Telephone Number : 406-327-3057
Fax Number : 406-327-3231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2014
Last Update Date : 05/18/2021

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Directions to “ KATHRYN ROGOTZKE FOOTE FNP” Practice Location

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