Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | RN16462 | MT |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NUR-APRN-LIC-100174 | MT |
NPI | 1811085517 |
---|---|
Provider Name | Janice Hausauer |
First Address | Livingston, MT 59047-2624 |
Second Address | Bozeman, MT 59718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 05/09/2017 |