Whalio Doctors

NPI 1033575907

Kimberly Glendoria Wallen, CRNA

Practitioner Certified Registered Nurse Anesthetist Bozeman, MT

Practice location

Address
3334 Monida St, Bozeman, MT 59718-8648
Phone
(804) 647-1635

Registered specialties (4)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2081405 (ID)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 1081405 (ID)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 108532 (KS)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 146248 (MT)

Registry record

NPI
1033575907
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jan 2016
Record last updated
14 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.