Healthcare Provider Details

I. General information

NPI: 1366253221
Provider Name (Legal Business Name): GREGORY F GRIFFETH PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 WHISKEY WAY UNIT C
BOZEMAN MT
59718-1192
US

IV. Provider business mailing address

131 WHISKEY WAY UNIT C
BOZEMAN MT
59718-1192
US

V. Phone/Fax

Practice location:
  • Phone: 406-540-7235
  • Fax: 406-797-1597
Mailing address:
  • Phone: 406-540-7235
  • Fax: 406-797-1597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNUR-APRN-LIC-268394
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: