Individual ProviderStephanie Buswell BurkholderNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478(406) 582-3106(406) 600-4582PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Buswell Burkholder does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588936892Provider TypeIndividualFull NameBurkholder, Stephanie BuswellCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date2/1/2012Last Updated2/1/2012Contact InformationPractice LocationPractice Address215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478Phone(406) 582-3106FaxUnlisted FaxMailing LocationMailing Address801 N Aster Ave, Bozeman, MT 59718-6033Phone(406) 600-4582FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense35481Montana