TARA JANE WILLOUGHBY APRN NPI 1487207122

NPI Information

NPI: 1487207122
Provider Name: TARA JANE WILLOUGHBY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
81 W PARK ST
BUTTE, MT
ZIP 59701
Phone: (406) 497-9000
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Tara Jane Willoughby, APRN is a family nurse practitioner in Butte, MT with 6 years of experience. Tara Jane Willoughby, APRN NPI is 1487207122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

81 W PARK ST
BUTTE, MT
ZIP 59701-713
Phone: (406) 497-9000
Fax: (406) 723-7117

The NPI 1487207122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	142868	MONTANA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	142868	MONTANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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