Provider Demographics
NPI:1912312588
Name:TRUDELL, MICHELLE LYNN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LYNN
Last Name:TRUDELL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-4127
Mailing Address - Country:US
Mailing Address - Phone:406-488-5000
Mailing Address - Fax:406-206-0193
Practice Address - Street 1:309 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-4127
Practice Address - Country:US
Practice Address - Phone:406-488-5000
Practice Address - Fax:406-206-0193
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT32580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily