Provider Demographics
NPI:1275770976
Name:VALERIE CHYLE APRN, PLLC
Entity Type:Organization
Organization Name:VALERIE CHYLE APRN, PLLC
Other - Org Name:PREVIOUS NAME VALERIE C BENZSCHAWEL PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHYLE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:406-543-1625
Mailing Address - Street 1:PO BOX 17047
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-7047
Mailing Address - Country:US
Mailing Address - Phone:406-543-1625
Mailing Address - Fax:406-543-1825
Practice Address - Street 1:2825 STOCKYARD RD
Practice Address - Street 2:UNIT H-3
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1503
Practice Address - Country:US
Practice Address - Phone:406-543-1625
Practice Address - Fax:406-543-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPN18526261QP2300X
MT18526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT011002343Medicare UPIN