Individual
MALLORY MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Mailing address
74 MERIWETHER AVE, BOZEMAN, MT 59718-3694
(406) 529-4708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95431504
CA
163W00000X
Registered Nurse
Primary
RN-219599
MT
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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