Individual
KIMBERLY GLENDORIA WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3334 MONIDA ST, BOZEMAN, MT 59718-8648
(804) 647-1635
Mailing address
3334 MONIDA ST, BOZEMAN, MT 59718-8648
(804) 647-1635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1081405
ID
367500000X
Certified Registered Nurse Anesthetist
108532
KS
367500000X
Certified Registered Nurse Anesthetist
146248
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
2081405
ID
Other
Enumeration date
01/08/2016
Last updated
05/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us