IndividualActive
Kimberly Wallen, CRNA
NPI 1033575907 · Certified Registered Nurse Anesthetist · Bozeman, MT
Provider details
- NPI number
- 1033575907
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 1081405 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3334 Monida St
Bozeman, MT 59718-8648
Phone: (804) 647-1635
Approximate (ZIP-level) locationGet directions
Mailing address
3334 Monida St
Bozeman, MT 59718-8648
Additional practice locations (1)
- 600 Mt Highway 91 SDillon, MT 59725-7379Phone: (406) 683-3000
Registry dates
- Enumerated
- 2016-01-08
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.