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NPI Code Detail

MEDICARE: MEGHAN ANN ERICKSON APRN

MEDICARE: MEGHAN ANN ERICKSON APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner45274MT

General Provider Information

NPI Number : 1790066801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN ANN ERICKSON APRN
Provider Business Mailing Address
First Line : PO BOX 139
Second Line :
City : HELENA
State : MT
Zip : 59624-0139
Country : US
Telephone Number : 406-443-2977
Fax Number : 406-443-2960
Provider Business Practice Location Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-443-2977
Fax Number : 406-443-2960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2011
Last Update Date : 10/28/2014

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