Healthcare Provider Details

I. General information

NPI: 1750075578
Provider Name (Legal Business Name): MYRA LEE STEIN DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

IV. Provider business mailing address

1695 TSCHACHE LN
BOZEMAN MT
59715-7965
US

V. Phone/Fax

Practice location:
  • Phone: 406-585-1360
  • Fax:
Mailing address:
  • Phone: 406-585-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-217250
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-217250
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: