Provider Demographics
NPI:1346410701
Name:SPAULDING, KRISTY KAY (FNP, PMHNP, BC)
Entity type:Individual
Prefix:MS
First Name:KRISTY
Middle Name:KAY
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:FNP, PMHNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4185 N MONTANA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7668
Mailing Address - Country:US
Mailing Address - Phone:406-490-5733
Mailing Address - Fax:406-442-2097
Practice Address - Street 1:4185 N MONTANA AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-7665
Practice Address - Country:US
Practice Address - Phone:406-442-2032
Practice Address - Fax:406-442-2097
Is Sole Proprietor?:No
Enumeration Date:2008-03-01
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT100485363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health