Individual
MALLORY NYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 BOARDWALK AVE, BOZEMAN, MT 59718-4118
(406) 589-8117
Mailing address
3081 FOXTAIL ST, BOZEMAN, MT 59718-7952
(352) 617-8823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
238012
MT
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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