Provider Demographics
NPI:1750849485
Name:HAMBURG, DEE LAURA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:DEE
Middle Name:LAURA
Last Name:HAMBURG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 3RD AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1900
Mailing Address - Country:US
Mailing Address - Phone:406-248-3149
Mailing Address - Fax:406-245-6636
Practice Address - Street 1:35511 COUNTY ROAD 134
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:MT
Practice Address - Zip Code:59221-9465
Practice Address - Country:US
Practice Address - Phone:406-742-5201
Practice Address - Fax:406-742-3523
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-144051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily