Healthcare Provider Details

I. General information

NPI: 1457298432
Provider Name (Legal Business Name): MELANIE LYNN MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 JASPER RD
GREAT FALLS MT
59404-3603
US

IV. Provider business mailing address

1715 6TH AVE S # 1715
GREAT FALLS MT
59405-2551
US

V. Phone/Fax

Practice location:
  • Phone: 406-315-1768
  • Fax:
Mailing address:
  • Phone: 406-403-6214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBBH-ACLC-LIC-80416
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: