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NPI Code Detail

MEDICARE: ANNE M. WEINBERGER A.P.R.N.

MEDICARE: ANNE M. WEINBERGER A.P.R.N.
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
1363L00000XNurse Practitioner222761NC
2363L00000XNurse Practitioner67813MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2005016130OTHERWIMEDICARE PTAN
32345549OTHERNCMEDICARE GROUP PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710947726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE M. WEINBERGER A.P.R.N.
Provider Business Mailing Address
First Line : 1224 W MAIN ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2338
Country : US
Telephone Number : 406-375-4823
Fax Number : 406-375-4846
Provider Business Practice Location Address
First Line : 1200 WESTWOOD DR
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2345
Country : US
Telephone Number : 406-363-5101
Fax Number : 406-363-7652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 02/13/2014

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