Organization
ELAN MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACIE TISDALE (OWNER)
(406) 672-1900
Entity
Organization
Contact information
Practice address
1410 38TH ST W, BILLINGS, MT 59102-7660
(406) 855-4002
(406) 794-0355
Mailing address
1410 38TH ST W, BILLINGS, MT 59102-7660
(406) 855-4002
(406) 794-0355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
02/20/2024
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