Wallen Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

WALLEN ANESTHESIA PLLC

Practice address

2760 Elizabeth Warren Ave
Butte, MT 59701-3979

Phone

(406) 221-2419

Fax

(952) 442-3620

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly G Wallen, CRNANPI 1033575907

Title

Partner

Phone

(804) 647-1635

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Glendoria Wallen, CRNA

  • Certified Registered Nurse Anesthetist
  • Bozeman, MT
  • NPI 1033575907
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1487413142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ELIZABETH WARREN AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013979",
            "telephone_number": "406-221-2419",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLEN ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "804-647-1635",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romnee Vushon
• Richard Paul Wagner, LCSW
• Ryan Wahl, PHARMD
• Wal-Mart Stores, Inc (Vision Center 30-1901)
• Walgreen Co (Walgreens #13818)
• Walmart Inc. (Walmart Pharmacy 10-1901)
• Tara Walsh
• Kathleen Irene Walter
• Jere P Walters, D.D.S.
• Stephen Phillip Walters, DMD MS

• Certified Registered Nurse Anesthetist in Butte, MT
• Providers in Butte, MT by specialty
• Certified Registered Nurse Anesthetist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.