MEDICARE: CHRISTINE CHALOUX 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
1	363LF0000X	Family Nurse Practitioner	RN49791	ME
2	363LG0600X	Gerontology Nurse Practitioner	NUR-APN-LIC-130754	MT
3	363LF0000X	Family Nurse Practitioner	NUR-APRN-LIC-130754	MT

General Provider Information

NPI Number	:	1841648599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CHALOUX FNP

Provider Business Mailing Address
First Line	:	1423 38TH ST W UNIT 3
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7524
Country	:	US
Telephone Number	:	406-430-2035
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 38TH ST W UNIT 3
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-7524
Country	:	US
Telephone Number	:	406-430-2035
Fax Number	:

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

Provider Enumeration Date	:	06/02/2016
Last Update Date	:	09/05/2024

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