Livingston Med Spa Pllc
NPI #1033805635 in Livingston, Montana
Provider Information
- NPI Number
- 1033805635
- Entity Type
- Organization
- Organization Name
- Livingston Med Spa Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 17, 2023
- Last Updated
- Apr 17, 2023
Practice Location
- Address
- 115 HIGH GROUND AVE
- City
- Livingston
- State
- Montana
- ZIP Code
- 59047-3906
- Phone
- (406) 224-3036
Authorized Official
- Name
- GRETCHEN WISE, NP
- Title
- OWNER
- Phone
- (406) 224-3036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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