Individual
MARNIE BASTA-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 TSCHACHE LN, BOZEMAN, MT 59715-7965
(406) 585-1360
Mailing address
1695 TSCHACHE LN, BOZEMAN, MT 59715-7965
(406) 585-1360
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NUR-APRN-LIC-125902
MT
Other
Enumeration date
05/24/2017
Last updated
12/08/2025
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