Provider Demographics
NPI:1508172719
Name:STAIGMILLER, CARMEN KAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:KAY
Last Name:STAIGMILLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 1ST AVE N
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:FAIRFIELD
Mailing Address - State:MT
Mailing Address - Zip Code:59436-0037
Mailing Address - Country:US
Mailing Address - Phone:406-467-3447
Mailing Address - Fax:406-467-3407
Practice Address - Street 1:201 1ST AVE N
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:MT
Practice Address - Zip Code:59436-9245
Practice Address - Country:US
Practice Address - Phone:406-467-3447
Practice Address - Fax:406-467-3407
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT23661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily