Provider Demographics
NPI:1346774478
Name:MICHALSKI-WEBER, EMILY (APRN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MICHALSKI-WEBER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MICHALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4538
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-4538
Mailing Address - Country:US
Mailing Address - Phone:406-459-4817
Mailing Address - Fax:406-422-1974
Practice Address - Street 1:2021 11TH AVE STE 11
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4882
Practice Address - Country:US
Practice Address - Phone:406-459-4817
Practice Address - Fax:406-422-1947
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-15
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT128560363LP0808X
MT37081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse