Provider Demographics
NPI:1275640757
Name:DARBY, JANIE R (CNP)
Entity Type:Individual
Prefix:
First Name:JANIE
Middle Name:R
Last Name:DARBY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-3350
Mailing Address - Country:US
Mailing Address - Phone:406-222-9970
Mailing Address - Fax:406-222-9971
Practice Address - Street 1:214 14TH AVE SW STE 108
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-3521
Practice Address - Country:US
Practice Address - Phone:406-488-2277
Practice Address - Fax:406-488-2530
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT31547363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4306757Medicaid
MT000370041OtherBLUECROSSBLUESHIELD
MT000085014Medicare PIN
MT000370041OtherBLUECROSSBLUESHIELD
MTP82280Medicare UPIN