Individual
MS. KACIE T TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3350
(406) 247-3389
Mailing address
2510 17TH ST W, BILLINGS, MT 59102-1736
(406) 245-3238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
32201
MT
363LF0000X
Family Nurse Practitioner
Primary
32201
MT
Other
Enumeration date
07/27/2010
Last updated
06/01/2021
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