1346774478 NPI number — EMILY MICHALSKI-WEBER APRN

Table of content: EMILY MICHALSKI-WEBER APRN (NPI 1346774478)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346774478 NPI number — EMILY MICHALSKI-WEBER APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MICHALSKI-WEBER
Provider First Name:
EMILY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MICHALSKI
Provider Other First Name:
EMILY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1346774478
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4538
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HELENA
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59604-4538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-459-4817
Provider Business Mailing Address Fax Number:
406-422-1974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2021 11TH AVE STE 11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HELENA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59601-4882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-459-4817
Provider Business Practice Location Address Fax Number:
406-422-1947
Provider Enumeration Date:
04/15/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  128560 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163W00000X , with the licence number: 37081 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)