Individual
MARA ZELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
935 HIGHLAND BLVD STE 2180, BOZEMAN, MT 59715-6904
(406) 414-5512
(406) 414-3610
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-175734
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619640091
—
MT
Enumeration date
07/30/2021
Last updated
04/10/2025
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