Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NUR-APRN-LIC-129508 | MT |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NUR-APRN-LIC-129508 | MT |
NPI | 1023518495 |
---|---|
Provider Name | Anne Evelyn Mcrae |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2018 |
Last Update Date | 18/03/2021 |