Provider Demographics
NPI:1487271052
Name:KAUFMAN, TORI RAE (DNP, APRN, PMHNP)
Entity type:Individual
Prefix:DR
First Name:TORI
Middle Name:RAE
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-0524
Mailing Address - Country:US
Mailing Address - Phone:406-228-2025
Mailing Address - Fax:406-228-2026
Practice Address - Street 1:110 5TH ST S #106
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230
Practice Address - Country:US
Practice Address - Phone:406-228-2025
Practice Address - Fax:406-228-2026
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT245520363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health