Provider Demographics
NPI:1528058286
Name:BEEBE, MICHELE (MSN, FNP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:BEEBE
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 2ND AVE. SO., STE. A
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:MT
Mailing Address - Zip Code:59230-2600
Mailing Address - Country:US
Mailing Address - Phone:406-228-4101
Mailing Address - Fax:406-228-4101
Practice Address - Street 1:630 2ND ST. SO., STE. A
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:MT
Practice Address - Zip Code:59230-2600
Practice Address - Country:US
Practice Address - Phone:406-228-4101
Practice Address - Fax:406-228-4101
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN25106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000371151OtherBCBS MONTANA
MT4310475Medicaid
P00390285OtherRR MEDICARE
MTQ35917Medicare UPIN
MT4310475Medicaid