Healthcare Provider Details

I. General information

NPI: 1902616006
Provider Name (Legal Business Name): GARLAND WHERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 HIGHLAND BLVD
BOZEMAN MT
59715-6909
US

IV. Provider business mailing address

937 HIGHLAND BLVD
BOZEMAN MT
59715-6909
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-3959
  • Fax:
Mailing address:
  • Phone: 901-493-3707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-APRN-LIC-291953
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: