Provider Demographics
NPI:1073282950
Name:KIRBY-JOHNSON, VALERIE KATHERINE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:KATHERINE
Last Name:KIRBY-JOHNSON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CHEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-6413
Mailing Address - Country:US
Mailing Address - Phone:406-781-2411
Mailing Address - Fax:
Practice Address - Street 1:33 CHEROKEE DR
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-6413
Practice Address - Country:US
Practice Address - Phone:406-781-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT178713363LP0808X
MT23308163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse