Basic Information
Provider Information
NPI: 1861849549
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAYHUFF
FirstName: AMBER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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Mailing Information
Address1: 122 ROCKY MOUNTAIN LN
Address2:  
City: BUTTE
State: MT
PostalCode: 597014328
CountryCode: US
TelephoneNumber: 4064911313
FaxNumber: 4064966035
Practice Location
Address1: 445 CENTENNIAL AVE
Address2:  
City: BUTTE
State: MT
PostalCode: 597012870
CountryCode: US
TelephoneNumber: 4067234075
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2016
LastUpdateDate: 04/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X103359MTN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP0808X103359MTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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