Provider Demographics
NPI:1619182128
Name:OLEY, ERIN (FNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:OLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 NORTH BROADWAY AVENUE
Mailing Address - Street 2:PO BOX 590
Mailing Address - City:RED LODGE
Mailing Address - State:MT
Mailing Address - Zip Code:59068
Mailing Address - Country:US
Mailing Address - Phone:406-446-2345
Mailing Address - Fax:
Practice Address - Street 1:2525 NORTH BROADWAY AVENUE
Practice Address - Street 2:PO BOX 590
Practice Address - City:RED LODGE
Practice Address - State:MT
Practice Address - Zip Code:59068
Practice Address - Country:US
Practice Address - Phone:406-446-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-100546363L00000X
MTRN29062363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000371411OtherBCBS PIN
MTP00415954Medicare PIN