Individual
LAUREL ANN ANDRECHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PSYCH NP
Contact information
Practice address
915 1ST AVE S, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59401-3705
(406) 761-2100
(406) 761-2107
Mailing address
415 6TH STREET, LEWISTON, ID 83501-2431
(208) 799-5700
(208) 799-5758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN20513
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN20513 MT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000373471
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
06/05/2007
Last updated
08/07/2024
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