Catherine Mamie Azuremountaincheif, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Browning, MT
NPI 1114135647 · NPPES record last updated Nov 2, 2017
Key facts
- NPI
- 1114135647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 23169 (MT)
- Practice address
- 503 Popimi Street
Browning, MT 59417-1289 - Phone
- (406) 338-3948
- Fax
- (406) 338-2373
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23169 | MT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackfeet Tribe | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 23169 | MT | |
| Registered Nurse | 163W00000X | 23169 | MT | Yes |
Addresses
Primary practice location
503 Popimi Street
Browning, MT 59417-1289
Mailing address
PO Box 1289
Browning, MT 59417-1289
Phone (406) 338-3948
Other providers in Browning, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.