Mrs Katrina Lin Brucker, NP | |
902 N Orange St Ste 202, Missoula, MT 59802-2928 | |
(406) 327-3362 | |
Not Available |
Full Name | Mrs Katrina Lin Brucker |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 902 N Orange St Ste 202, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427489822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 5618-33 (Wisconsin) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NUR-APRN-LIC-157587 (Montana) | Primary |
Entity Name | Providence Health & Services Mt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
Mailing Address | Practice Location Address |
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Mrs Katrina Lin Brucker, NP Po Box 12, Liberty Lake, WA 99019-0012 Ph: (866) 747-2455 | Mrs Katrina Lin Brucker, NP 902 N Orange St Ste 202, Missoula, MT 59802-2928 Ph: (406) 327-3362 |
Mrs. Patricia D Lamb, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 Kensington Ave Ste 16, Missoula, MT 59801 Phone: 406-926-1109 Fax: 406-926-1267 | |
Jill Aucoin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 902 N Orange St, Missoula, MT 59802 Phone: 406-329-5736 | |
Heather Schiedermayer, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2831 Fort Missoula Rd Ste 206, Missoula, MT 59804 Phone: 406-540-3367 | |
Molly Erin Horton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Evan Robert Thompson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2825 Stockyard Rd, Missoula, MT 59808 Phone: 406-201-7142 | |
Matthew Lee Shryock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St Ste 320, Missoula, MT 59802 Phone: 063-295-6154 Fax: 406-329-5606 | |
Troy Dennis Warling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Rd, Physician Center 3, Suite 204, Missoula, MT 59804 Phone: 406-327-3935 Fax: 406-327-3933 |