Patricia Carrick, NP
Individual provider Active NPI Nurse Practitioner · Dillon, MT
NPI 1992806863 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992806863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN017332 (MT)
- Practice address
- 30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513 - Phone
- (406) 683-4440
- Fax
- (406) 683-1121
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN017332 | MT | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN017332 | MT | Yes |
Addresses
Primary practice location
30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513
Mailing address
30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513
Phone (406) 683-4440
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.