MEDICARE: TARA WELLS FNP-C, PMHNP-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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	130057	MT
2	363LF0000X	Family Nurse Practitioner	130057	MT

General Provider Information

NPI Number	:	1770080004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA WELLS FNP-C, PMHNP-C

Provider Business Mailing Address
First Line	:	301 SADDLE DR STE A
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-422-1114
Fax Number	:	833-992-2110

Provider Business Practice Location Address
First Line	:	301 SADDLE DR STE A
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-8026
Country	:	US
Telephone Number	:	406-422-1114
Fax Number	:	833-992-2110

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	01/27/2026

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