Provider Demographics
NPI:1588829733
Name:CHYLE, VALERIE (APRN - FNP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:CHYLE
Suffix:
Gender:F
Credentials:APRN - FNP
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:C
Other - Last Name:BENZSCHAWEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN - FNP
Mailing Address - Street 1:2825 STOCKYARD RD STE H3
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1507
Mailing Address - Country:US
Mailing Address - Phone:406-543-1625
Mailing Address - Fax:406-543-1828
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
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT18526363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT011002344Medicare UPIN