Provider Demographics
NPI:1518073527
Name:FREEMAN, MARYELLEN MARGARET (RN,APN)
Entity Type:Individual
Prefix:MRS
First Name:MARYELLEN
Middle Name:MARGARET
Last Name:FREEMAN
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Gender:F
Credentials:RN,APN
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Mailing Address - Street 1:905 HIGHLAND BLVD
Mailing Address - Street 2:SUITE4500
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6901
Mailing Address - Country:US
Mailing Address - Phone:406-414-2400
Mailing Address - Fax:406-587-3610
Practice Address - Street 1:905 HIGHLAND BLVD
Practice Address - Street 2:SUITE4500
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-6901
Practice Address - Country:US
Practice Address - Phone:406-414-2400
Practice Address - Fax:406-587-3610
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2015-04-06
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Provider Licenses
StateLicense IDTaxonomies
MT44742364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health