Individual provider · Type 1 NPI
Mallory Nye
Family Nurse Practitioner · Bozeman, MT
NPI number
1720964893
Active
Practice location
630 Boardwalk Ave
Bozeman, MT 59718-4118
Mailing address
3081 Foxtail St
Bozeman, MT 59718-7952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 238012 (MT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1720964893
Mallory Nye's National Provider Identifier is 1720964893, issued on Aug 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bozeman, MT. The record was last updated on Aug 14, 2025.