Individual provider · Type 1 NPI

Shawn Derby

Nurse Practitioner · Great Falls, MT

NPI number 1972390649 Active

Practice location

1101 26th St S
Great Falls, MT 59405-5161

Mailing address

PO Box 6010
Great Falls, MT 59406-6010

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN-69776 (MT)
Nurse Practitioner Primary 363L00000XNUR-APRN-LIC-266796 (MT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972390649

Shawn Derby's National Provider Identifier is 1972390649, issued on Apr 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Great Falls, MT. The record was last updated on Sep 4, 2025.