MEDICARE: KARLEE HAUS NP

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
1	363LW0102X	Women's Health Nurse Practitioner	NURAPRNLIC101192	MT
2	363LF0000X	Family Nurse Practitioner	NUR-RN-LIC-73321	MT
3	363LF0000X	Family Nurse Practitioner	NUR-APRN-LIC101192	MT

General Provider Information

NPI Number	:	1730550021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLEE HAUS NP

Provider Business Mailing Address
First Line	:	1940 W DICKERSON ST STE 205
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6851
Country	:	US
Telephone Number	:	715-475-9116
Fax Number	:

Provider Business Practice Location Address
First Line	:	1940 W DICKERSON ST STE 205
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-6851
Country	:	US
Telephone Number	:	406-629-4921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2015
Last Update Date	:	03/03/2026

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