Laurel Ann Andrechak, FNP, PSYCH NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Great Falls, MT
NPI 1992907372 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1992907372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN20513 MT (MT)
- Practice address
- 915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705 - Phone
- (406) 761-2100
- Fax
- (406) 761-2107
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| RN20513 | MT | MD | Family Nurse Practitioner |
| RN20513 MT | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Mental Health | Family | Past |
Accepting new patients |
| Center for Mental Health | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN20513 | MT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN20513 MT | MT | Yes |
Addresses
Primary practice location
915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705
Mailing address
415 6TH Street
Lewiston, ID 83501-2431
Phone (208) 799-5700
Other practice location 1
415 6th Street
Lewiston, ID 83501-2431
Phone (208) 799-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000373471 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
Other providers in Great Falls, MT
- Eric J. Anderson
- Fred E. Anderson
- Loy L Anderson
- Sammie Jo Anderson
- Teslynn Alissa Anderson
- Shelley Louise Andrus
- Anesthesia Associates of Great Falls LLC
- Ann M Doll Midwifery Services PLLC
- Raymone Jeanine Annau
- Kate Lynn Antonich
All providers in Great Falls, MT · Psychiatric/Mental Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. 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.