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NPI Code Detail

MEDICARE: HEATH L SHOMATE PMHNP

MEDICARE: HEATH L SHOMATE PMHNP
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 Practitioner131347MT
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNUR-APRN-LIC-131347MT

General Provider Information

NPI Number : 1841776044
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATH L SHOMATE PMHNP
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 2950 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0720
Country : US
Telephone Number : 406-671-8906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 03/18/2021

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