Provider Demographics
NPI:1508172750
Name:ANDERSON, VALERIE LOYCE (FNP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LOYCE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1474
Mailing Address - Street 2:
Mailing Address - City:FORT BENTON
Mailing Address - State:MT
Mailing Address - Zip Code:59442-1474
Mailing Address - Country:US
Mailing Address - Phone:406-622-5955
Mailing Address - Fax:406-622-5477
Practice Address - Street 1:201 1ST AVE NORTH
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:MT
Practice Address - Zip Code:59436
Practice Address - Country:US
Practice Address - Phone:406-467-3447
Practice Address - Fax:406-455-4752
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT19914363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily