Provider Demographics
NPI:1760917967
Name:MORATELLI, BILJANA (APRN)
Entity Type:Individual
Prefix:
First Name:BILJANA
Middle Name:
Last Name:MORATELLI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BILJANA
Other - Middle Name:
Other - Last Name:VUJOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 6369
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-6369
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2525 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8049
Practice Address - Country:US
Practice Address - Phone:406-457-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9326591363L00000X
FLARNP9326591363L00000X
MT192478363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021040600Medicaid
FLLH92JOtherBLUE CROSS BLUE SHIELD