Doctor Name: | MS. BEVERLY ANN SICKERT-MCHUGH |
NPI Number: | 1780772921 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN20775 |
Business Practice Address: | Fort Harrison Vamc Fort Harrison, MT - 59636 |
Business Phone Number: | 4064426410 |
Business Fax Number: | |
Mailing Address: | 4799 Echo Dr, HELENA |
State: | MT |
Postal Code: | 59602 |
Phone Number: | 4064423263 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN20775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |