Provider Demographics
NPI:1487622981
Name:HOOKER, EMILY (CNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HOOKER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N WILLSON AVE
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3551
Mailing Address - Country:US
Mailing Address - Phone:406-578-0681
Mailing Address - Fax:406-587-9011
Practice Address - Street 1:300 N WILLSON AVE
Practice Address - Street 2:SUITE 2001
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3551
Practice Address - Country:US
Practice Address - Phone:406-578-0681
Practice Address - Fax:406-587-9011
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN13169363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000037451OtherBLUE CROSS BLUE SHIELD
MT0434603Medicaid
MT0434603Medicaid
MTS02316Medicare UPIN