Provider Demographics
NPI:1790877793
Name:GITTINGS, MEGAN (APRN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GITTINGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 FRONT STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3442
Mailing Address - Country:US
Mailing Address - Phone:406-820-3376
Mailing Address - Fax:406-312-1611
Practice Address - Street 1:920 FRONT STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3442
Practice Address - Country:US
Practice Address - Phone:406-820-3376
Practice Address - Fax:406-312-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100340363L00000X
MT100340363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4307173Medicaid
MT000370131OtherBLUE CROSS BLUE SHIELD
MTP00259784OtherRAILROAD MEDICARE
MTI-7320352Medicaid
MT000370131OtherBLUE CROSS BLUE SHIELD
MTQ55605Medicare UPIN