Provider Demographics
NPI:1568867588
Name:MICHALSKY, MESSINA M (PMHNP)
Entity Type:Individual
Prefix:
First Name:MESSINA
Middle Name:M
Last Name:MICHALSKY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3359
Mailing Address - Country:US
Mailing Address - Phone:406-702-1466
Mailing Address - Fax:406-702-1591
Practice Address - Street 1:926 MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3359
Practice Address - Country:US
Practice Address - Phone:406-702-1466
Practice Address - Fax:406-702-1591
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1630069163W00000X
COAPN.0991471363LP0808X
CORXN.0101748-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09974261Medicaid
CO381762YMJ3Medicare PIN