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Contact Information

MALLORY J BUCK, APRN
500 W BROADWAY ST STE 320
MISSOULA, MT59802-4003
 Phone: 406-329-5615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MALLORY J BUCK · (Female)

NPI Number 1881145050
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 10/21/2016
Last updated 10/30/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MT License # NUR-APRN-LIC-242130
  • NE License # 113040
Hospital affiliation(s)
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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